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Dr. Ramakanthan Gautama

Cardiologist, Mumbai

Dr. Ramakanthan Gautama Cardiologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ramakanthan Gautama
Dr. Ramakanthan Gautama is a popular Cardiologist in Mulund West, Mumbai. You can meet Dr. Ramakanthan Gautama personally at Ashwini Hospital in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Ramakanthan Gautama on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 34 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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Hindi

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Lalan Building (Annexure), P K Road, Panch Rasta, Mulund West. Landmark: Opposite Manoranjan Showroom, MumbaiMumbai Get Directions
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I am high blood pressure patient. What type of food will help me to control my blood pressure?

BAMS
Ayurveda, Ambala
I am high blood pressure patient. What type of food will help me to control my blood pressure?
Dear, To control & maintan BP normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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My name is vaibhav I have hypertension problem I tried some medicine but don't have any relief please suggest me some effective medicines.

BAMS
Ayurveda, Ambala
My name is vaibhav I have hypertension problem I tried some medicine but don't have any relief please suggest me some...
To control & maintain Blood pressure to normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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Regularly my body heat so how to decrease the heat? And how to less the cholesterol?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Regularly my body heat so how to decrease the heat? And how to less the cholesterol?
pl.give details about that your body is heating. and You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.
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I am suffering from cardiovascular disease. Some time when I am going to do exercise my heartbeat goes high. Further I think it is due tachycardia phenomenon. Or else. How could this dangerous to me?

MBBS
General Physician, Mumbai
I am suffering from cardiovascular disease. Some time when I am going to do exercise my heartbeat goes high. Further ...
Dear lybrateuser, - If you are suffering from cardiac problem then do investigations, ECG x-ray chest, echo, blood hb%, sugar, cholesterol - tachycardia is when the heart rate at rest is above 100/ min - doing exercise will raise your heart rate which is normal, it should come back to normal after rest - it can become normal as you regularly exercise, start slowly then gradually increase your time & intensity if you are comfortable, consult your doctor .
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I am 25 years old guys. I have problem in my chest. Thre is always dry cough present in my chest. Because of d's cough m facing problem in breathing. What should I do.

MD - Medicine, MBBS
Cardiologist, Panchkula
This is most likely an allergic cough. But a final diagnosis must be made with proper investigations and a detailed case history.
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
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There is acute pain in chest while breathing heavily. What should I do? What could be the symptoms of being a heart patient?

MBBS
General Physician, Mumbai
There is acute pain in chest while breathing heavily. What should I do? What could be the symptoms of being a heart p...
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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Hi, I am 28 years old getting back and chest pain both together front and back same position. From 3 weeks suggest me what can I do.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hi if you have localized back pain with - no neurological symptoms like numbness, paresthesia, weakness in limbs etc, my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home. - avoid forward bending, lifting heavy weights etc - take an analgesic like diclofenac or something which suits your body for 5-7 days - take muscle relaxant for same time as analgesic to relieve muscle spasm - ice packs at the site of pain, muscle spasm - local analgesic spray can be used but no massage is required let me know in a week time how you are feeling. I will actually ask you to get x ray of involved region of spine (ap & lateral) and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.
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I am 24 year old male. I have pain on chest for last two months. What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
I am 24 year old male. I have pain on chest for last two months. What should I do?
take aciloc 150 mg 2 times a day for 2 weeks. do ecg, x ray chest pa . inform report. consult physician.
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I am a 19 years old girl. I've been going through major mood swings and I just feel empty in my heart sometimes. Even though I'm surrounded by so many people I still feel lonely. I am really close to one of my friends and I have realised that only when he's around in the morning I wake up with this positive energy. But even if everything going right I always feel somethings not right. I have suddenly lost interest in talking to my relatives or family. I am a photography student and I have kind off lost my interest and dedication in it too. I just can't figure out whats wrong. I have no answers to my questions. I feel low most of the time. When someone asks me whats wrong I get irritated even more cz I myself can't answer that question. Sometimes I feel I should consult a psychologist. I feel worthless and directionless. I feel like I won't be able to find work once I pass out of college. There are just too many things going on in my mind and I end up over thinking. I don't want to take any sort of anti depressants or something. I'm just worried about when things would get back to normal. I get lost in my own world and sometimes feel like going on rides or going out alone. No one lets me be. I don't know what to do.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
I am a 19 years old girl. I've been going through major mood swings and I just feel empty in my heart sometimes. Even...
Dear lybrate-user, you are having depression now. Normally depression increase to a particular severity level and then improve on its own in around 9 to 12 months. So if you do not take treatment it will take 9 month for improvement. With treatment you will find improvement in your symptom in 3 weeks. I would seriously recommend you to consult psychiatrist and start treatment. You can start brisk walking or exercise daily, drink approx 4L of water daily. Maintain your sleep and wakeup time. You will get some improvement with these measures. All d best.
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Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Daily 45 minutes Of vigorous walking, makes you away from heart diseases.
It is advisable not to take much water in between food which is essential for better digestion.
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Hi My father is 63 years old now. From last week he suffers from High blood pressure 180 to 190. He took Medicine from MD. Phigisioin but still not getting better please suggest Best medicine for him.

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology, Interventional Cardiology and Cardiac Electrophysiology
Cardiologist, Delhi
Hi
My father is 63 years old now. From last week he suffers from High blood pressure 180 to 190. He took Medicine fro...
Need to increase the dose of medication, sometimes it take more than one week to control high blood pressure.
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I feel strong bouts of sleep during afternoons at office. I take bp medicines and am overweight too. Pl advise.

Md ayurveda
Ayurveda, Bangalore
I feel strong bouts of sleep during afternoons at office. I take bp medicines and am overweight too. Pl advise.
Hello as your weight is more that lethargy and sleepy feel is bit common. - maintain your diet always specially timngs of having food. - do not have any heavy foods in the night specially curds - avoid oily foods for lunch - you need some physical exercises to reduce your weight. - you can adopt ayurveda to manage your weight and blood pressure. - take ashwagandharishta 25ml with water twice a day before food.
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My father is 54 years age. And his creatinine level is 9 due to high bp. What will be diet chart of him?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips blog on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.
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What we do in case of heart failure in the late night conditions. Do we provide them adrenaline for the emergency or can we give a other drug like ace inhibitor. Do we save the patients or we give them shock for the new life. What type of drug should given to ashtama patients. Give a proper treatment for the hairloss. How we change the heredity change in case of hairloss. Give a reason for occurring skin diseases.

MD - Homeopathy
Homeopath, Aurangabad
What we do in case of heart failure in the late night conditions. Do we provide them adrenaline for the emergency or ...
Shift pt to hospital in lying position. Hello. Hair problem is common now a days. Due to stress and busy life. Take full sleep. Drink planty water. Have fruits. Take. Acid hydrofluoric 30.2 tds x 30 days. And revert. Use arnica mon q 30 ml + your oil 100 ml mix. Twice a week at night and wash
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My age is 44 yrs. My wright is 95 kg height is 6 ft. Recently I did lipid and my Hdl is 30 and Ldl is 84. What can I do to reduce my weight as also to increase Hdl.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My age is 44 yrs. My wright is 95 kg height is 6 ft. Recently I did lipid and my Hdl is 30 and Ldl is 84. What can I ...
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. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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What is the solution for anxiety. And mood swing or fear of death always. Can weak heart become a strong heart.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the solution for anxiety. And mood swing or fear of death always. Can weak heart become a strong heart.
Yes a weak heart can become strong through will power, exercise, fruitful hard work that gives good results, good diet and this is the solution to anxiety. Remember the adage-my heart is strong because I have the power of truth.
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I'm having lots if food allergies . Taken medication and resulted sugar now and high cholesterol.

MD - Paediatrics, MBBS
Allergist/Immunologist, Kollam
I'm having lots if food allergies .
Taken medication and resulted sugar now and high cholesterol.
Dear lybrate-user kindly do a food specific ige quantitative test and allergy skin test for allergies to the food item s suspected maintain food dairy avoid processed food and drinks.
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