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Dr. Sumit Johnson

Cardiologist, Mumbai

Dr. Sumit Johnson Cardiologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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In ECG my first degree av block. Pr 228. Echo, lipid profile, tsh, kft, lft, cbc, all the test normal. But when I put down and again stand up. Then my heartbeats going to slow and I feel nussea and vomiting feel. And when some suddenly happen then also my heartbeats going to slow for 5 to 10 seconds. please tell. Me. What is this, and this is serious or not.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Good to know that every other test is normal except 1st degree av block. There is an elecrical circuit in our heart sending signals for regular heart beat, if the circuit gets affected, it needs artificial stimulation like a pacemaker so that erratic heart beats like fibrillations (rapid beats) or slow beats (sometimes complete stoppage!) can be avoided. Please ask your treating doctor without getting confused.
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I am 47 year old and my BP is 140/90, and I am taking half tab win bp20 daily, although doctor prescribe me 1 tab daily before 6 month, I did not consult him from 6 month, I feel normal and my BP is now 125/85, what could I do?

Homeopath, Faridabad
Hi, this is good that your BP is in normal range but you should consult your doctor again if he wants to do any change or stop the medicine.
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I am a 48 year Man, having diabetic and high blood pressure. One month back my left leg muscle (below knee) was squeezed due a slip from bike. I had taken pain killer and applied locally muscodac gel. There is pain still continues, what shall I do ?

Ayurveda, Nashik
1) do massage with warm sesame oil or suitable oil for 15 min. Afterwards take hot fomentation for 10 min. 2) start natural calcium supplement. 3) do regular stretching exercise.
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General Physician, Hyderabad
1.Homeo medicines..5drops each of Golddrops, teraxacum.uranium nitricum available in any homeo shop. and or 2. 45minutes training/practice of ancient yogic approach will solve any of y/our problem. skype: diabetesurecure walk in " Kamadenu ".13-1-67/2A. Motinagar Extension. Erragadda.Hyderabad18 9441178096.
4 people found this helpful
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I'm 50 years old and had a mild heart attack 15 days back and treated by angioplasty. Actually I had two blocks one 100%and the other 80%. The 100 %block got cured naturally by itself. (automatic bypass). Now the 80% was treated by angioplasty. Now i'm perfectly normal. Should I avoid smoking completely or can I have 2 cigarettes a day. Will it affect the stent?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
It is a statistically proven fact that smokers and other tobacco users are more likely to develop disease, suffer miserably later in life and die earlier than are people who dont use tobacco. I have experience in successfully making people quit smoking through a customized smoking cessation program which includes counseling medications and support do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
2 people found this helpful
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My friend is smoking for the last 7 years and sometimes he is having pain near the right chest. Is that something to worry about his lungs?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
If it is the lungs, there may be some concern. Even if it not concerned with the smoking, giving up is the best solution. Smoking has no benefits at all, period. So do not wait for some problem to crop up before you want to quit. It is not good and therefore quitting is the best solution.
4 people found this helpful
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I feel some kind of chest pain yesterday. Within my heart I want to know what kind of pain it is?

General Physician, Gurgaon
CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast 7. Avoid spicy food Consult physician for further management
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I am 62 years old. Weight 70 kgs now after maintaining 68 kgs in the previous 2 years. My lipid profile is controlled by taking 1 stanlip 145 mg at night only for last 7 years. For a very marginal sugar level of 130 (fasting) &150 (postprandial), I take Glyciphage SR500 1 after lunch (2 PM) and 1 after dinner (9 PM). But for the above I am normal. I normally do some deskwork watching TV or listening to music and go to sleep after midnight. forte last 9 months or so, at about 3 am, about 2-3 hours after starting my sleep, I wake up for urination and I experience severe itching at the tip of my penis and the inner side the outer skin near the tip. After scratching intensely to the extent of getting pain and washing off, I go back to sleep and it is ok after that. This is happening in20 out of 30 days in a month. In fact the itching wakes meup and after urination it takes 30 mts to 60 mts to start sleeping again. I am in the bed from 1 to 7 am and out of this I lose 1 to 1 1.5 hrs sleep. Why is this itching happening? Pls suggest simple remedy without starting dosages of medicines.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details given. Looking at blood glucose levels mentioned, diabetes seems to be in good control. However, there is no mention about HbA1c%, which would have given a clear idea about long term control. As regards getting up in the night, this does happen in diabetes as glucose is filtered in the urine (when it is high in blood), that draws more water and bladder gets full and there is an urge to pass. As regards the itching sensation, based on the description it appears to be due to fungal infection of the prepuce area, which is common in diabetes. This can be corrected by applying antifungal creams locally plus taking systemic antifungals also is necessary. If you do not want to take any medications, then it is difficult to overcome that. A strict blood glucose control plus cleaning up the are regularly may be helpful. But I feel above mentioned drugs would be needed. Thanks..
4 people found this helpful
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I am 18 yrs old or I have chest pain on both sides from many years it sudden occurs or stops automatically. When chest pain occurs I am unable to breathe properly.

Pulmonologist, Faridabad
Chest pain for many years which occurs and stop automaticaly, and xray chest is normal, can be muscular/ apd.
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Cardiovascular Disease & Diabetes - Know Everything About It!!

Diabetologist, Bangalore
Cardiovascular Disease & Diabetes - Know Everything About It!!

Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

  1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.
  2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.
  3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.
  4. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.
  5. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease. If you wish to discuss about any specific problem, you can ask a free question.

2159 people found this helpful

What food should be eaten if a person is suffering from 156 mg/ dl LDL cholesterol? IS THIS RANGE OF cholesterol OF HIGH RISK?

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
For any person irrespective of cholesterol one should eat healthy. Avoid junk foods, avoid fried and fatty foods, avoid too much of sweets and sugars/salts. Fruits, vegetables, fish are good. But remember one should eat healthy not stop eating.
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I am 41 years old. I had severe heart attack on 10.07.2016. After that I got anjoplasty on 11.7.2016. For which 3 stent has been inserted. As per doctor . He told all is alright. But I am feeling depressed as again it want happen. And at time of attack my heart was stop working for few seconds. So I am worried for my future.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
It is only 10 days after stents ae fitted on you & it is natural to be anxious about what next? do eat the right diet, exercise moderately, reduce stress & no smoking or exposure to pollution. As a rule if 3 blockages or more are detected, bypass surgery is a better choice but with 3 stents too you can lead a normal life if you follow prevention of heart attacks carefully. Do write back after you feel settled with 3 stents.
1 person found this helpful
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I am facing problems due to chest pain. I suffer from cholesterol increase. Please suggest me what should I do to reduce extra fat?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
take tab. ecosprin 150 sos when chest pain occurs. 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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I am a student. I have quite thin arms compared to my physique and my chest is also not broad. I want my hands to be a bit fatter and chest to be broader. please help. I am also scared that I may have klinefelter syndrome.

General Physician, Mumbai
Dear Lybrateuser, -To increase your muscle mass you have to have a well balanced diet with more of proteins & do regular exercises -have protein rich foods like eggs, milk, cheese, yogurt, sea food, chicken, meats, beans, soya products, sprouts, tofu, legumes, peas, nuts like almonds, walnuts, pistachios, peanuts -do jogging, swimming, for 30 min, do moderate weight lifting at least 2-3 times a week, do push ups & chin ups to develop pectorals, give adequate rest to the part after exercise for 1-2 days -have 8-10 glasses of water per day -get check up done by a doctor to rule out klinefilter syndrome.
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I have a problem that my chest always pains. I don't know the reason and my back also pains.what can be done

General Physician, Mumbai
For pain take tablet paracetamol 650 mg with rantac and start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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Blood Pressure - Can Acupuncture Help You Treat it?

Bachelor in TCM, Diploma in Acupuncture, Diploma in Naturopathy & Yogic Science (DNYS)
Acupuncturist, Mumbai
Blood Pressure -  Can Acupuncture Help You Treat it?

Blood pressure problems trouble every third human being down the street; a thorough survey could affirm the aforementioned statement. While mild fluctuations can be tackled through medication, the secondary health issues triggered by high or low blood pressure can aggravate to make treatment a little problematic. Increased or decreased blood pressure levels could be indicative of underlying health problems and could also be the cause of severe ailments. Medical assistance should thus be sought at the earliest possible.

Many kinds of treatments are available at your disposal but it would indeed be wise for you to opt for an alternative branch of medicine that not only helps you regulate blood pressure in emergency situations, but also helps you maintain a level close to the optimum. Acupuncture owes its roots to traditional Chinese medicine and is a tried and tested alternative solution to the curse of increased or decreased blood pressure levels.

How is Acupuncture helpful:

  1. Acupuncture deals with the insertion of needles at different pressure points of your body to relieve you of pain or diseases of any kind; it is effective in controlling blood pressure levels by adjusting and re-stabilizing energy flow in your body.
  2. In certain cases electro-acupuncture has successfully brought down a sharp rise in blood pressure. In some other cases, this method has had side effects. Electro-acupuncture should therefore be a subjective mode of treatment.
  3. The changes brought about in your blood pressure after you have been monitored with Acupuncture are mostly gradual. The best part of such kind of a cure is that the gradual changes last for a very long span of time.
  4. Acupuncture is believed to kindle processes inside your nerves to further stimulate parts of your brain that directly control blood pressure levels. Research studies are being conducted to back up the positive effects of acupuncture with stronger arguments.
  5. The fact that acupuncture is a low- risk option makes it all the more viable a solution to tackle problems related to blood pressure.
2 people found this helpful

Please give me advice for my teeth problem and blood pressure high from a few days in my life.

Ayurveda, Ambala
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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I am 31 years old. My heartbeats are feeling like racing and feeling anxiety. But bp is normal. Please tell me urgently what should I do.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Body and mind work together. When you are having increased heartbeats and feeling anxious you need to understand what is going on in your mind. You will have to analyse your thoughts and the feelings behind these thoughts. May be you are underconfident about your abilities or may be you are scared of somehting. Presently you are not realising what is happening to you. This needs to be explored. Talk to a counsellor, who will help you to understand your mind games and will help you to get rid of this anxiety.
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