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Dr. Samuel Mathew Kalarickal

MBBS

Cardiologist, Mumbai

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Dr. Samuel Mathew Kalarickal MBBS Cardiologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Samuel Mathew Kalarickal
Dr. Samuel Mathew Kalarickal is a popular Cardiologist in Bandra West, Mumbai. He is a qualified MBBS . You can consult Dr. Samuel Mathew Kalarickal at Dr. Samuel Mathew Kalarickal@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Samuel Mathew Kalarickal 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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MBBS - - -

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#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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I am a 24 year male. Few days ago I've suffered from diarrhea, dehydration, low pressure. So how should I take care of myself now?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
you can take liquid diet .drink ors in water for dehydration . juice,green veg., multivitamin diet. drink always pure water. avoid open foods from market or any where.
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Pain feeling in the two side chest and back side last 2months. Also other problems starting snoring while sleeping from last few months. Other roommate noticed and told me I m snoring while sleeping.

BAMS
Ayurveda, Bangalore
Pain feeling in the two side chest and back side last 2months. Also other problems starting snoring while sleeping fr...
Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in thenose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used. Apply rumalaya liniment on the chest and the back 3 times a day and give hot water fomentation.
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What is the basic reason behind heart attack?

MD Internal Medicine, MBBS
General Physician,
What is the basic reason behind heart attack?
Like any other part of the body the heart muscles also need blood supply, the blood reaches the heart muscles through blood vessels called coronary arteries, sometimes these vessels can get blocked and when the blockage is significant, the heart muscles do not get oxygen and this condition is called a heart attack.
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My friends mother died recently. It all started early in the morning. She forgot to take her high BP tablet the night before. Early morning she started vomiting with severe headache, nausea and her lower body below vest was sort of paralysed. My friend gave her two 25 mg tablets Enam-25 and she was rushed to the nearby hospital. There ECG did not show any heart attack. Later they checked sugar, electrolyte, lipid profile. All reports were normal. An echo test was done showing normal valve functioning but 40% LV diastolic contraction. The heart specialist said it's with in the normal range but suggested that treatment be started. She was injected and a tablet was given. After taking tablet she vomited and then collapsed. Nothing worked out and she was declared dead. Now my friend is worried that was it a mistake to give two 25 mg tablets to control BP? Did that dose mislead the heart specialist? The doctors were informed that she had been given two tablets. Was one tablet enough and would that have given true information in echo test or ECG? Could anybody explain. Please tell.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My friends mother died recently. It all started early in the morning. She forgot to take her high BP tablet the night...
Two tablets of enam 25 (enalapril) would not cause death of a patient- moreover, your friend's mother wasn't told to have low blood pressure when she reached the hospital. The sudden collapse that you have detailed was perhaps an episode of arrhythmia (irregular heart rate) - which causes sudden cardiac deaths. Its very difficult to come to terms with such a tragedy in life - but I can tell you only one thing out of my own experience - its never anybody's fault! she was in the hospital and still she died - make your friend accept this.
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Sir, I am smoking continuously since last 4 and a half year, I had suffered breathing blockage sometime, I struggled extremely to breathe during those period. My heart pains also sometime. What can be the cure except quiting smoking? And suggest me few ideas to refine my lungs and remove tar. It would be great help for me. Thanks.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir, I am smoking continuously since last 4 and a half year, I had suffered breathing blockage sometime, I struggled ...
First of all uve to quit smoking before even thinking of removing tar as quitting smoking is the only way to remove accumulated tar... U can take help of nicorrette chewing gum to quit smoking Drink plenty of fluids daily and consume more of fruits in diet
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My Chest feel full of burden. Lot of question arises in mind. What should I do for this?

MBBS
General Physician, Mumbai
My Chest feel full of burden. Lot of question arises in mind. What should I do for this?
Dear lybrateuser, -if you have heaviness in chest then exercise regularly walking, jogging, swimming, playing outdoor games as these will keep your mind & body fit -also do yoga, meditation & deep breathing exercises for 10-15 min daily -have well balanced meals with more of fruits & vegetables, wholegrains -sleep well for 7-8 hrs at night get your bp checked up.
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Hi, I am a regular alcohol drinker and drink about 180 ml on daily basis for past more than 25 years now. In my past 3 pathological reports spanning over last one year, I have been consistently observing high SGOT (Around 55IU/l, high SGPT (Around 71) and high bilirubin (around 0.23 mg/dl).In addition to this I also have high uric acid Serum (around 7.8).Further there's consistently low RBC count (Erythrocytes low around 3.7) with high MCV and MCH. However my Glycated Hb is within permissible range. Also to add, I also have been taking a High BP controlling medicine (Repace H-1/2 tab daily) for past 15 years now. Do the reports indicate that my liver has shrunk? Is my liver functioning highly deranged? What does high Esonophils and low RBC indicate? Any issue with my bone marrow? Pls suggest. Leaving alcohol completely is not possible for me, while I am trying to bring down my daily intake to 120 ml.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Hi, I am a regular alcohol drinker and drink about 180 ml on daily basis for past more than 25 years now. In my past ...
You appear to have Alcoholic hepatitis, Gout, High BP, obesity as detected and known. Normal HbA1c suggests no Diabetes. First and foremost requirement for all these is to stop alcohol completely once and for all. You may have to seek professional help of physicians, and Psychiatrist for well planned treatment, counselling and rehabilitation with change in life style. All the academic doubts have no convincing answers. Face the health issue head on.
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Hi High bp 100/150.Please help

DBCM (AM) General Physician
Alternative Medicine,
Tonicard (homeo), kali iod (biochemic) treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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Hello doctor my father have low blood pressure so please tell me some nice solution because they fill some tiredness I am waiting for you're response.

MBBS
General Physician, Cuttack
1. Drink plenty of water/ nimbu pani/electral powder with water 2. Increase salt intake 3. Take plenty of fresh green leafy vegetables, fruits. Fish, chicken etc 4. Avoid alcohol 5, go for regular exercise 6. Drink tea/ coffee 7. Avoid prolonged standing 8. Avoid stress, anxiety, depression 9. Take. Adequate rest and have 7-8 hours of sound sleep in the night 10. Do yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 11. Check your hemoglobin, monitor bp and consult physician for advice and treatment.
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7th April patient having heart attack 21st April she is having angiography and its report showing 85% block so question is there any other solution without angioplasty?

MBBS
General Physician, Mumbai
7th April patient having heart attack 21st April she is having angiography and its report showing 85% block so questi...
Such issues are critical questions requiring very meticulous judgement which is possible only after getting to know entire case history of the patient. It will not be prudent to give any affirmative response to your query as I can guess the cardiologist in charge has probably advised for angioplasty and based on that you are seeking second or third opinion. That is very essential and you are doing exactly what I would have done for my own family. But no doctor will be able to opine without having all relevant details of the case. Medicine is not a prefect science like mathematics and that's why there is no formula. Only we get guidelines and protocols based on evidences. To follow protocols the doctor has to see that his judgement is based on criteria as laid down and those criteria are to be obtained from patient' case history.
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Since after my TB treatment was over my uric acid varies at 6 ~7.5 and also RBC count remains 5.36 both values doesn't lower much. Apart that I am having high cholesterol levels are high as follows Total Cholesterol - 234. LDL - 164.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
Since after my TB treatment was over my uric acid varies at 6 ~7.5 and also RBC count remains 5.36 both values doesn'...
Dear Cholesterol is made in liver as per body requirement. Food doesnot alter this. So relax. Please reduce protein intake. Light exercise pranayam yoga pure veg diet, lotvif fruits and green vegetables will help. Cap Reimmugen Ayurvedic medicine 2-2 will help. Vm.
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I am 48 years lady suffering from spondylosis of L 5 and C 3. Also I have problem of frozen shoulder. There is lot of pain in moving my right hand backwards and on up side. I am also suffering from high cholesterol and low BP. Kindly send your advice.

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
I am 48 years lady suffering from spondylosis of L 5 and C 3. Also I have problem of frozen shoulder. There is lot of...
Hi lybrate user, there is no single treatment for multiple conditions. Lets start from spine (lumbar & cervical, spondylosis is a degenerative process & treatment depends on severity of condition from conservative management, nerve blocks, minimally invasive procedures to open spine surgery. For frozen shoulder (adhesive capsulitis) physiotherapy will help but if there is sever pain in doing physio you can take help of pain specialist/orthopedician for intraarticular injection & then you can continue with physio. For high cholesterol & bp you should take consultation of general physician & dietician for medication, diet modification & active life style. Hope it helps.
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Pain in chest all of suddenly in left side specially while sleeping and when I wake up.

MBBS
General Physician, Trivandrum
Pain in chest all of suddenly in left side specially while sleeping and when I wake up.
You maybe most probably suffering from gastritis or gastro esophageal reflux disease. You have to avoid spicy and fried foods. Also avoid junk food and fast food. If your problems are worse, you need to take an ecg and take medications.
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What is the treatment when we have high blood pressure?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
What is the treatment when we have high blood pressure?
Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. I being a both a registered dietitian (rd) and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. I will also suggest home remedies. Do reply back for private consultation for rx.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
STABLE CORONARY ARTERY DISEASE
Life style changes including exercise versus angioplasty- stenting, events like heart attack,stroke and death were less in patients treated with life style changes and more in patients treated with angioplasty-stenting.
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What should I eat as a good diet as I have suffered from high blood pressure and diabetes?

BHMS
Homeopath,
What should I eat as a good diet as I have suffered from high blood pressure and diabetes?
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnemna sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Heart attack first aid

A heart attack is a medical emergency. Call ambulance or your local emergency number if you think you or someone else is having a heart attack.

The average person waits 3 hours before seeking help for symptoms of a heart attack. Many heart attack patients die before they reach a hospital. The sooner the person gets to the emergency room, the better the chance of survival. Prompt medical treatment reduces the amount of heart damage.

This article discusses what to do if you think someone may be having a heart attack.

Causes
A heart attack occurs when the blood flow that carries oxygen to the heart is blocked. The heart muscle becomes starved for oxygen and begins to die.

Symptoms
Symptoms of a heart attack can vary from person to person. They may be mild or severe. Women, older adults, and people with diabetes are more likely to have subtle or unusual symptoms.

Symptoms in adults may include:

Changes in mental status, especially in older adults
Chest pain that feels like pressure, squeezing, or fullness. The pain is usually in the center of the chest. It may also be felt in the jaw, shoulder, arms, back, and stomach. It can last for more than a few minutes, or come and go.
Cold sweat
Light-headedness
Nausea (more common in women)
Numbness, aching, or tingling in the arm (usually the left arm, but the right arm may be affected alone, or along with the left)
Shortness of breath
Weakness or fatigue, especially in older adults and in women
First aid
If you think someone is having a heart attack:

Have the person sit down, rest, and try to keep calm.
Loosen any tight clothing.
Ask if the person takes any chest pain medication, such as nitroglycerin, for a known heart condition, and help them take it.
If the pain does not go away promptly with rest or within 3 minutes of taking nitroglycerin, call for emergency medical help.
If the person is unconscious and unresponsive, (or your local emergency number), then begin cpr.
If an infant or child is unconscious and unresponsive, perform 1 minute of cpr, then call ambulance
Do not
Do not leave the person alone except to call for help, if necessary.
Do not allow the person to deny the symptoms and convince you not to call for emergency help.
Do not wait to see if the symptoms go away.
Do not give the person anything by mouth unless a heart medication (such as nitroglycerin) has been prescribed.
When to contact a medical professional or your local emergency number immediately if the person:

Does not respond to you
Is not breathing
Has sudden chest pain or other symptoms of a heart attack
Prevention
Adults should take steps to control heart disease risk factors whenever possible.

If you smoke, quit. Smoking more than doubles the chance of developing heart disease.
Keep blood pressure, cholesterol, and diabetes in good control and follow your doctor's orders.
Lose weight if obese or overweight.
Get regular exercise to improve heart health. (talk to your doctor before starting any new fitness program.)
Eat a heart-healthy diet. Limit saturated fats, red meat, and sugars. Increase your intake of chicken, fish, fresh fruits and vegetables, and whole grains. Your health care provider can help you tailor a diet specific to your needs.
Limit the amount of alcohol you drink. One drink a day is associated with reducing the rate of heart attacks, but two or more drinks a day can damage the heart and cause other medical problems.
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I have done my lipid profile test. And the report is Cholesterol, total - 187 mg/dL Triglycerides - 197.00 mg/dL HDL cholesterol - 38.00; mg/dL LDL cholesterol, calculated - 109.60 mg/dL VLDL cholesterol, calculated - 39.40 mg/dL Tell me about my report And what precautions should I have to take.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
I have done my lipid profile test. And the report is
Cholesterol, total - 187 mg/dL
Triglycerides - 197.00 mg/dL
HDL ...
Dear Satya, your report looks fine to me except your HDL which is slightly low and your LDL which is slightly high. But these levels don't warrant any drug therapy. You can do well to follow diet and exercise regimen suited to you. I would advise you to loose some kilos which will improve your lipid profile also. Thank you.
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Multivessel Stenting Vs Bypass Surgery - Which is Better?

DM Cardiology
Cardiologist, Delhi
Multivessel Stenting Vs Bypass Surgery - Which is Better?

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.

How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to a cardiologist without much delay.

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Hi I want to know the reason for uneven breast size. My lest side breast size is larger than right side. If right is 30 than left is 35 I can say. I have done mammography and chest x ray but doc said it is normal. I am 27 years old single girl.

MBBS, cc USG
General Physician, Noida
Hi
I want to know the reason for uneven breast size. My lest side breast size is larger than right side. If right is ...
Minor change in size may be normal, it is quite common for each breast to be slightly different in size, and if Mammography is normal than nothing to worry
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