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Dr. Sailesh Mehta

Cardiologist, Mumbai

Dr. Sailesh Mehta Cardiologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sailesh Mehta
Dr. Sailesh Mehta is a trusted Cardiologist in Mumbai, Mumbai. You can visit him at Health Clinic in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sailesh Mehta on

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My dad is a colon cancer patient since 2013. He was operated thrice, 6 chemo n 23 radiotherapy done. He had an intestinal obstruction so a bypass was done. Again the metastases at the rectal site has grown further and puss was formed. It was drained out by a small hole in the abdomen. He has urine burns. Sir, how much time it takes for the other parts to get affected? Pl advice. Am helpless.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Once infection has occurred and that too with pus formation,it becomes very difficult for body to get rid of that infection very soon....very high doses of strong antibiotics are required to treat it...if the antibiotics work then it could be all well in a week or so
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Heart Blockage: Warning Signs

DM Cardiology
Cardiologist, Delhi
Heart Blockage: Warning Signs

Heart Blocks are a result of plaque buildup in your arteries, which blocks blood flow and circulation to the heart, causing heart muscle damage and heightens the risk for heart attack and stroke.
Arteries which have smooth and elastic walls become thick and restrict blood flow from the cholesterol deposits over the years. Blood clots can also block the arteries that supply oxygen rich blood to the heart. These can eventually lead to strokes and heart attacks.

Some warning signs that you may be at risk of heart blockage:

  1. Have you had a mild stroke: Plaque that accumulates in the carotid artery supplying oxygen rich blood to the brain can cause a stroke. People who have had strokes are more prone to heart attacks.
  2. Do you often feel fatigue and dizziness: Reduced oxygen from poor circulation and blood flow can result in fatigue and tiredness as well as dizziness.
  3. Experiencing shortness of breath: Poor blood flow can lead to shortness of breath from even mild forms of exercise or even from carrying out daily chores or walking.
  4. Sudden chest pain: Chest pain or angina result from reduced supply of blood to the heart. It can be felt as pressure, tightness in the chest, squeezing in the chest, numbness or burning.
  5. Unexplained lower back pain: This can result from pressure in the spine as a result of pinched nerves due to compressed vertebrae discs as a result of poor blood flow.
  6. Erectile dysfunction in men: If an erection becomes difficult or impossible, it could be a warning sign of clogged arteries. These arteries supply blood to the pelvis area and help achieve an erection.
  7. Calf pain: Blocked leg arteries can cause calf pain, especially in smokers . THis is an early sign of possible heart blocks.
  8. Painful, numb and cold hands and feet: Plaque build up in the arteries of the extremities can cause numbness and coldness in the hands and feet.

Remember early detection is the key to prevent or delay heart attacks.

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I'm a 17 year old girl, and have been experiencing sharp pain under my left breast when I breathe in. I thought it was a symptom of a heart attack, but I'm not experiencing nausea, anxiety, clammy skin, tiredness, etc. I have a little congestion in my chest of phlegm, and had a cough two weeks ago. I took nebulizer to solve my cough, but what should I do to solve this issue? Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
Hello lybrate user regarding your pain in breast is not similar to heat pain and each and every pain is not heart attack. It may be because of gaseous discomforts or dry coughing. I would like to advise you to follow the regular routines of getting all dietary measures and daily behaviours -as well as yoga and exercise every day. Hot water sipping boiled with ginger, saumph and ajwayan every one hour for whole day. Use light diets and soups of carrots and beetroot with moong daal soups fried with cumin seeds and ghee and garlic. Oil massage over effected parts twice daily. Avoid oily or junk food stuff, sour products e. G. Pickles etc and nonveg. Make sure about your bowel should be cleared every day.
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Male 33 years. Bp: 60-90. I feel stressed most f the times because of personal n professional reasons. I also feel fatigued. Any solutions?

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
I'm not very clear about your blood pressure, so clarify on that. Stress can lead to fatigue, tiredness. You may feel like you have no energy or interest in doing anything. Take a multivitamin everyday. Make some dietary changes: avoid processed foods, reduce caffeine and increase fresh vegetables. As contradictory as this may sound, get some exercise. Sleep adequately. You can consult me for further management if required.
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My mom suffering with heart problem and she has a 8 blocked so what I do Send me advice.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
8 blocks cannot be corrected by stents, she needs a bypass surgery, do not fear surgery, technology is advanced and survival rate is high, so is quality of life after surgery.
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When I smoke my heart rate increases and I feel heavy and very fatigued even after a smoke. Joints in my hand pain once I smoke. I smoke 2 to 3 cigarette s a day. I'm 27 and have been smoking for 6 years.

Fellowship in Cardiology, MD, MBBS
General Physician, Delhi
Smoking has deconditioned you. Your lungs have weakened and so poor oxygenation and thereby fatigue. Best option .quit.
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I have been suffering from shortness of breath, chest pain, anxiety and increased pulse rate. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
DearLybrate user, A number of conditions can cause a rapid heart rate, anxiety and chestpain symptoms. It's important to get a prompt, accurate diagnosis and appropriate care. I would suggest please get a Normal ECG and Cardiac stress test done to rule out heart condition first. For checkup you can visit nearest Madhavbaug Ayurvedic Cardiac clinics in Maharashtra, where we offer expert checkup and herbal Ayruvedic Cardiac treatment and care to handle such conditions.

What are main symptoms of heart attack? How chest pain can be cured? What are the safety measures?

C.S.C, D.C.H, M.B.B.S
General Physician,
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.
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Hello sir, I am 42 and I want to reduce cholesterol and my tummy. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. welcome in lybrate
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I am a 42 years old male a heart patient and I am still smoking what is the way to leave it.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Smoking is one of the risk factors, others in heart patient is obesity, hypertension, diabetes. Lifestyle modification, stress management, diets, etc. If you stop smoking for one month chances of getting heart attacks is reduced by 50%, and for one year you stop smoking than chances of getting heart attacks is same as non smoker. Councelling for stress management.
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Sir I am a 26 year old boy. 3 Months ago I had eaten paracetamol tablet and its reaction me. After that I suffering mental depression. I fill such as I am going to die, my heart beat will be closed, and I also check my heart beat, and suddenly I have fill that I am going to die than I am filling very weakness. And than beginning pounding heat beat. please a advice to me.

General Physician, Mumbai
Get your vital parameters of the body checked from a nearby doctor and revert back with findings and Increase your self confidence and Eat protein rich food and take tablet Nurokind-more 1-1 for a month and revert back after completion
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Hi doctors my whole body feel light. Mostly my head. And pounding heart. All my test is good. My throat pain as well. What's the cause?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
You have GERD, which is the root cause of every problem. Eat a regular diet but no medicines. No heavy foods which are likely to come out of valve separating stomach from upper food pipe. No oils or heavy spices. Reduce weight by eating healthy semisolid nourishment and light exercise. Pounding heart is due to extra load on it due to extra body weight. No medicines and no tests needed now. Do get back here later after a month of diet and exercise.
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To control Blood Pressure ,in addition to allopathy tablets, what else we should do? Viz any veg food items, exercise,walk etc. Please give details. Age-74 B.P. Since last 1 1/2 years. B.P -upper goes up to 160-165 and lower is between 70-80 Present medicines----Tazloc-CT6. 5 -- 1 tab after B.F. And CINOD 10--1 tab after dinner ATOCOR 10--1 tab after dinner.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Exercise daily for 40-45 mins. Avoid taking caffeine, smoking or salt rich food like pickles, papads, namkeens, chips etc and continue with your medications.
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Dear Doctors. Good evening. Sir I am 34, male. My question is about heart rate. Normal healthy heart rate should be 70-72. What if the heart rate falls to 67 or 68 like that. Is that any functional problem ot heart or its normal please advise.

General Physician, Mumbai
Dear Lybrateuser, - A heart rate of 67-68 is absolutely normal as the heart can vary as per the activity, climate, emotional state, medication, your heart rate is normal.
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Please tell me about high blood pressure and what is the main cause of deases tell me suggestions.

MD - Consultant Physician
Cardiologist, Kolkata
High blood pressure may be hereditory or aquired. Aquired are mostly curable. It may be arterial abnormality which operable & curable, renal cause treatable & operable and also curable. Hereditary type is treatable.

Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
201 people found this helpful

I have chest tightness and upper abdomen pain and tightness. My body weight gone decreased completely .Taken endoscopy redness in esophagus and gastritis. Doctor prescribed me pantakind. Later one Lybrate doctor advise me to take pantocid, another doctor advise me to nexpro 40 mg tab. After taking nexpro some what chest tightness and upper abdomen pain become normal . Side effects of after taking nexpro After having breakfast ,getting liquid stool like diarrhea.

M B A(Hospital Management), Post Graduate Diploma in Hospital Administration, M D, Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Bangalore
For your problem you will have to avoid spicy and oily food. You take the following medicnes: 1. Jawarsh amla one tsp two times 2. Jawarish mastagi one tsp two times 3. Jawarish kamooni one tsp two times all the above medicines are available at hamdard outlet or any other unani medicines retailer.
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I am an old of 73 years. At present feeling a respiratory trouble & a mild pain on left chest, most probably due to 1st stage of Angina. I take medicine for BP e.g. Espin-AT & Losium-50 and for ear blockage I take Trinerve Cap, Gincoba Tab, Relent Tab. What should I do for my chest pain? Please help me.

Pulmonologist, Faridabad
Get an ECG and Trop i done. If any positive consult a cardiologist . If chest pain related to exersion then idealy you should go for CAG to know status of coronary artery. You can add monotrate 20 mg once/day and se response ,if not intersted in any intervention.
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My age is 21 and my hand and body shivering many time whenever that wark which is doing in pressure or little work some time my hand shaking than heart beat increasing and thn I can not typing properly and heart beat increase.

General Physician, Mumbai
Dear Lybrateuser, -You have anxiety & weakness for which you should have a balanced diet & do regular exercises -in diet include more of fruits & vegetables including green leafy ones ,beans, wholegrains, soyaproducts, milk, cheese, paneer, yogurt, lean meats, nuts-almonds, walnuts, pistachios, peanuts -do regular aerobic exercises like jogging, cycling, swimming for 30 min, do moderate weight lifting at least twice a week, yoga, deep breathing fot 5-10 min daily -get your BP, blood sugar, thyroid hormone checkup done.
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My chest suddenly starts to pain. I do not why but suddenly starts and also stops What should I do.

General Physician, Mumbai
Exercise regularly and on alternate days and avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
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