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Dr. Sunil Kotari

Cardiologist, Mumbai

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Dr. Sunil Kotari 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.
More about Dr. Sunil Kotari
Dr. Sunil Kotari is one of the best Cardiologists in Santacruz, Mumbai. You can meet Dr. Sunil Kotari personally at J R medical Center in Santacruz, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sunil Kotari on Lybrate.com.

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J R medical Center

Shop no 4, sumer Vila &th Floor,Santacruz (E). Landmark: Opp Hdfc Bank, MumbaiMumbai Get Directions
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A heart attack happens when your heart muscle is starved of oxygen-rich blood. Make sure you know the signs and symptoms of a heart attack and don't delay getting help. Should I take an aspirin if I think I'm having a heart attack?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
A heart attack happens when your heart muscle is starved of oxygen-rich blood. Make sure you know the signs and sympt...
If you think that you are having a heart attack - taking an aspirin will protect you but not cure you. For cure of a heart attack and also for saving the life of someone with a heart attack - an emergency thrombolysis or angioplasty is essential. Taking an aspirin for a patient with a heart attack is protective and for a person without heart attack, it is not harmful! Hence, take an aspirin but don't become complacent by taking it!
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Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
You can reduce your Heart disease risk through Diet & Exercise in as little as three weeks , according to a recent study by American Heart Association.
4 people found this helpful

Cholesterol kam karne ke upay in Hindi - कोलेस्ट्रॉल कम करने के उपाय

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Cholesterol kam karne ke upay in Hindi - कोलेस्ट्रॉल कम करने के उपाय

वर्तमान में कुछ शरीरिक समस्याओं का साथ चोली दामन की तरह हो गया है। जैसे ब्लड प्रेशर, शुगर, थाइरोइड, कोलेस्ट्रॉल आदि। और आज इसी कड़ी में हम जानेंगे खास से आम और आम से खतरनाक हो चुकी बढ़े कोलेस्ट्रॉल की समस्या की। कोलेस्ट्रॉल लीवर द्वारा बनाया जाने वाले वसा होता है। हमारे शरीर के ढंग से काम करने के लिए कोलेस्ट्रॉल का बनना ज़रूरी होता है। ब्लड में कोलेस्टेरॉल का स्तर कम ज़्यादा होने से तरह-तरह की बीमारियाँ घेर लेती हैं। तो आइए हाई कोलेस्टेरॉल को कम करने के उपाय जानते हैं।
आपको यह बात जानना जरूरी है कि कोलेस्ट्रॉल हमारे सेहत के लिए बहुत अच्छा होता है। लेकिन बीमारियाँ तब शुरू होती हैं, जब यह ब्लड सेल्स में जमने लगता है। इस स्थिति में ब्लड सर्कुलेशन बाधित होने लगता है, और शरीर में सभी भागों तक ख़ून पहुंचाने के लिए दिल को पहले से ज्यादा पम्प करना पड़ता है।
कोलेस्टेरॉल दो तरह का होता है एकलो डेंसिटी लाइपोप्रोटीन (एलडीएल) दूसरा हाई डेंसिटी लाइपोप्रोटीन (एचडीएल)
इसमें से हमारी एलडीएल सेहत के लिए बुरा होता है, जबकि एचडीएल होता है अच्छा।
मुख्यतः कोलेस्टेरॉल हार्मोन को नियंत्रित करने में हेल्प करता है।रक्त के विषैले तत्वों को सोखकर शरीर को स्वस्थ रखने में मदद करता है।मस्तिष्क के ठीक से काम करने के लिए कोलेस्टेरॉल का नॉर्मल होना ज़रूरी है। शरीर पर पड़ने वाली धूप से विटामिन बनाने के लिए कोलेस्ट्रॉल जरूरी है।
ब्लड में कोलेस्ट्रॉल का स्तर 3.6 से 7.8 मिलीमोल्स प्रति लीटर की रेंज में होना चाहिए। जब यह लेवल 6 मिलीमोल्स प्रति लीटर हो जाता है, तो यह हाई कोलेस्टेरॉल कहलाता है। लेकिन 7.8 मिलीमोल्स/लीटर के बाद हार्ट अटैक का ख़तरा बढ़ जाता है।
 

हाई कॉलेस्ट्रॉल की कुछ खास वजह होती हैं जैसे कि

  • वज़न बढ़ना
  • शारीरिक मेहनत न करना
  • खान-पान में लापरवाही
  • जेनेटिक


कोलेस्ट्रॉल बढ़ने के सिम्पटम्स कुछ इस तरह होते है। 
– हाई ब्लड प्रेशर
– जल्दी थकान होना
– जल्दी हाँफना
– डायबिटीज़ के मरीज़ में शुगर लेवल बढ़ने से जब ख़ून गाढ़ा होना आदि 

कोलेस्ट्रॉल कम करने की तरकीबें:

  • एलोवेरा: रोजाना खाली पेट 50 ग्राम एलोवेरा खाने सेकोलेस्ट्रॉल कंट्रोल में किया जा सकता है 
  • धनिया: खड़ी धनिया को ताज़े पानी में रातभर भिगोकर सुबह उसका पानी पी जाएँ। साथ ही भीगी धनिया भी चबाकर खाएँ।
  • अंकुरित अनाज: अंकुरित दालों को अगर दिल का दोस्त कहा जाए तो गलत नहीं होगा। अंकुरित दालों का रोजाना सेवन बुरे कोलेस्ट्रॉल को घटाता है। अपने दिन के खाने में कम से कम आधा कप बीन्स जैसे राजमा, चने, मूंग, सोयाबीन और उड़द को आप सूप, सलाद या सब्जी किसी भी रूप में ले सकते हैं।
  • नओट्स: सुबह के समय नाश्ते में ओट्स खाना स्वस्थ दिन की शानदार शुरुआत है। 6 हफ्ते तक सुबह नाश्ते में प्रतिदिन ओट्स का दलिया लेने से एलडीएल को 5.3% तक घटा सकते हैं।
  • वाइन: जो लोग वाइन पीने का शौक रखते हैं, वो अपना शौख बरकरार रखें। हफ्ते में 2 बार थोड़ी सी रेड ग्रेप वाइन पीना कोलेस्ट्रॉल को कम करने मे मदद करता है।
  • ग्रीन टी: ग्रीन टी में कॉफी के मुकाबले काफी कम कैफीन पाई जाती है। साथ ही शरीर को चुस्त-दुरुस्त रखने और स्वस्थ रखने वाले एंटी-ऑक्सीडेंट भी ग्रीन-टी में ज्यादा होते हैं। 
  • रोजाना ग्रीन-टी पीने से शरीर की प्रतिरोधक क्षमता बढ़ती है जिससे बुरे कोलेस्ट्रॉल को कम करना आसान हो जाता है।
  • मछली: जो लोग मछली खाते हैं उनके लिए भी कोलेस्ट्रॉल को घटाना आसान है। दरअसल, हमारे शरीर को स्वस्थ फैटी एसिड और अमीनो एसिड की जरूरत होती है। शरीर को एनर्जी और विटामिन-डी देने के अलावा फिश में स्वस्थ फैटी एसिड और अमीनो एसिड भरपूर मात्रा में होते हैं, जो कोलेस्ट्रॉल को कम करने में उपयोगी हैं।
  • ड्राई फ्रूट्स: अमेरिकन हार्ट एसोसिएशन के मुताबिक सूखे मेवे खाना हमारी सेहत के लिए बहुत जरूरी है, क्योंकि इनमें प्रोटीन फाइबर और विटामिन-ई भरपूर मात्रा में होते हैं।साथ ही मेवों में स्वस्थ फैटी एसिड भी पाया जाता है जो केमिकल्स में प्रोसेस नहीं होता है और कोलेस्ट्रॉल को कम करने में काफी असरदार है।तो अब बिंदास आप रोजाना एक मुट्ठी डॉयफ्रूइट्स खाएं।
  • मोटापा कम करें: मोटापा कोलेस्ट्रॉल बढ़ने के प्रमुख कारणों में से एक है। हाई कोलेस्टेरॉल का ख़तरा बढ़ने पर वज़न को बढ़ने मत दीजिए। अधिक मोटापा हाई कोलेस्टेरॉल के साथ साथ डायबिटीज़ और हाई ब्लड प्रेशर का भी कारण होता है।
  • योग और व्यायाम करें: योग और व्यायाम के लिए वज़न बढ़ने का इंतज़ार मत कीजिए। योग करने से रक्त संचार ठीक रहता है, हृदय रोगों से बचाता है, और रोग प्रतिरोधक क्षमता बढ़ाता है।

कोलेस्टेरॉल से पीड़ित व्यक्ति हफ्ते में 5 दिन एक्सरसाइज करे। जॉगिंग, साइकलिंग, तैराक़ी और एरोबिक्स भी कर सकते हैं।
और कुछ न कर सकें तो कम से कम आधा घंटा रोज़ टहलें।
हेल्दी डाइट: कोलेस्ट्रॉल कंट्रोल करने के लिए फ़ैट बढ़ाने वाले चीज़ें न खाएँ। वो हर चीज़ खा सकते हैं, जिससे सभी पोषक तत्व हों। अंडे की ज़र्दी, जंक फ़ूड, तली-भुनी चीज़ें, फ़ुल क्रीम मिल्क और रेड मीट खाने से बचें।
ज्यादा दवाएं खाने से बचें: दवाओं का इस्तेमाल डॉक्टरी सलाह से ही करें ना कि दवाओं सुनी सुनाई बातों पर करने पर मनमानी दवा खाएं। इसके साथ जीवनशैली में आवश्यक बदलाव करके दवाई पर निर्भर रहने की कंडीशन पर काबू पाने की कोशिश करें।
ध्यान रहे कोलेस्ट्रॉल की जांच हर 6 महीने पर कराते रहनी चाहिए। और 20 वर्ष से ज्यादा उम्र केलोगों को हर 5 वर्ष में एक बार जांच करानी चाहिए।

1 person found this helpful

I am suffering from dry cough for last two weeks and have chest pain whenever I cough hardly. Can you give suggestion for my recovery.

MBBS
General Physician, Cuttack
I am suffering from dry cough for last two weeks and have chest pain whenever I cough hardly. Can you give suggestion...
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and carry out investigations including x ray of chest after consulting physician, if no relief4 consult me for further advice.
1 person found this helpful
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I am a bp patient and taking bp medicine and my LDL level is 129.8 HDL is within range. So should I start cholesterol medicine?

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
I am a bp patient and taking bp medicine and my LDL level is 129.8
HDL is within range. So should I start cholesterol...
No you don't need any cholesterol medicine. But you can continue with diet, exercise, weight control measures. Thank you.
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Symptoms of Heart Attack

MBBS
General Physician, Jaipur
Symptoms of Heart Attack
Heart attack can present with chest, neck, arm as well as abdomen (epigastrium).
Symptoms can be absent in diabetic patients, presentation can be only giddiness or sweating or just nausea vomiting.
So never ignore these symptoms.
Like I always say early diagnosis is key to better treatment and recovery. Rejoice:)

Hi, I have a chest pain and my head is also paining that's why I ask you. Thank you.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Hi, I have a chest pain and my head is also paining that's why I ask you. Thank you.
You may take Bryonia 30 thrice a day only three drops in water one day only. Call back with the results and for further course of medicine.
1 person found this helpful
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Iam a 66 year cardiodiabitic patient (cardio and femoral artery procedure in 2012 and on Ramipril 10, Metolar 50, atorvastatin 20, clopidogrel 75, Metformin 1mg, glimepiride and pioze 15. Though the Sugar and cholesterol level are in control, but do you suggest any change in medicines or its doses.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Iam a 66 year cardiodiabitic patient (cardio and femoral artery procedure in 2012 and on Ramipril 10, Metolar 50, ato...
Mr Dhirendra, If your blood sugar is well controlled then there is no need to chenge treatment. Good control means fasting close to 100 mg and PP between 150 to 160 mg and HbA1c%<7.. If this achieved then there is no reason to change.
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How to know that she will have a heart attack cause she have a very weak heart. And if the attack occur then what should we do immediately?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
How to know that she will have a heart attack cause she have a very weak heart. And if the attack occur then what sho...
If there is fear that one might get heart attack and there are risk factors then get her investigated do ecg, echo, blood sugar, lipid profile and thyroid hormons. In case of heart attacl pt should be immediately transferred to a hospital with cardiac facilities.
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My father's echo report is showing only 30 to 35 % heart pumping and his angiography is showing that there is one block. Doctors had given advise to do angioplasty. Whether this 30 to 35 % pumping is good enough? Should we go for angioplasty? Is there any solution to improve % of heart pumping? Whether this will reduce my father's life span?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father's echo report is showing only 30 to 35 % heart pumping and his angiography is showing that there is one blo...
Angioplasty means opening and clearing of blocks in the blood vessel supplying blood to the heart, as blood supply to the heart will improve by doing angioplasty, heart functioning will become better. This is the only solution and answer to your query.
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my dad age is 48 and he is addicted to drink alcohol which is ruining our life he have no medical issue only has blood pressure problem please prescribe me a medicine which can help him to avoid alcohol without any big problems.

BHMS
Homeopath,
my dad age is 48 and he is addicted to drink alcohol which is ruining our life he have no medical issue only has bloo...
To quit drinking he needs to take medicine. However it is very evident that he won't agree to take the medicine if he comes to know about it. You have to administer the medicine for alcohol de-addiction without letting him know. So the medicine should be colourless, odourless, tasteless. For this purpose Homeopathy has an excellent remedy. The remedy not only fulfills the criteria of being colourless, odourless & tasteless but at the same time it is fully soluble in water. You just have to add 20 drops of the medicine to every litre of water. Just keep a separate bottle for the patient. Add 20 drops of the medicine to each litre of water. For example if the bottle contains 2 liters of water then add 40 drops of the medicine. Now whenever the patient asks for water give him that particular medicine mixed water. He will easily drink 2 litres of water in 24 hours. Thus you will be able to administer the medicine for de-addiction of alcohol without even letting him know. You can even give him this medicine mixed water to prepare his peg if he drinks alcohol at home. A quick response is noted in patients who have taken 60 drops of the medicine daily. Now note down the name of the medicine. The medicine is Homeopathic Mother Tincture ACID SULPH Q. You can find it at any Homeopathic Medicine retail shop. Just buy a 100 ml pack for one month. You will able to notice a difference within 10 days of starting of the medicine if you can administer the medicine as 60 drops daily. This medicine will reduce his craving for alcohol without producing any type of side-effects.
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I always have a chest burning sensation. How to get relief from it? I also have pain in my left ear while it happen. Whether it is acidity or any other problem?

MS - General Surgery, MBBS
General Surgeon, Delhi
I always have a chest burning sensation. How to get relief from it? I also have pain in my left ear while it happen. ...
Avoid outside spicy and fried food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.
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What are the signs of heart attack / stroke and how can it be taken care of / precautions to it.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
What are the signs of heart attack / stroke and how can it be taken care of / precautions to it.
Common ones may include: Chest discomfort that feels like pressure, fullness, or a squeezing pain that lasts for more than a few minutes or goes away and comes back. Pain and discomfort that go beyond your chest to other parts of your upper body, like one or both arms, or your back, neck, stomach, teeth, and jaw Unexplained shortness of breath, with or without chest discomfort Other symptoms, such as: Cold sweats Nausea or vomiting Lightheadedness Anxiety, indigestion Unexplained fatigue Women are more likely than men to have additional issues, like neck, shoulder, upper back, or abdominal pain. These 10 lifestyle changes can help prevent a heart attack and heart disease. Eat for your future. Add plenty of fruits and veggies, grains, and foods high in omega-3 fatty acids like fresh tuna or herring to your diet. Eat less salt, saturated fats, sweets, and red meats. Avoid trans fats. Avoid food with “hydrogenated” or “partially hydrogenated” ingredients. Variety in your diet is a good way to get all the nutrients you need. Take it easy. Find a relaxation method that works for you. Yoga, meditation, dedicated time to unwind after work -- these can help keep your stress levels down. Stressful emotions such as anger and hostility may also lead to heart attack risk, so keep calm and be cool. Ban smoking. If you never started smoking, kudos! If you already quit, excellent. If you still smoke, stop. Talk to your doctor to find out what method will work best for you. Even people who smoke fewer than five cigarettes a day can have early signs of heart disease. Start now. In just 1 year you can reduce your risk of a heart attack. Keep tabs on your blood pressure. If it’s too high, your risk of a heart attack and heart disease goes up. Stress management, a healthy diet, and regular exercise can help you manage your blood pressure. Your doctor may also prescribe medications to lower your levels. Mind your blood sugar. Too much sugar in your blood can damage your arteries, even if you don’t have diabetes. Work with your doctor to control your levels. That may lower your chance of having a heart attack or stroke. Remember, you can’t tell if you have diabetes (or high blood pressure, or high cholesterol) based on how you feel. Be smart about cholesterol. When blood flows through your heart, it can drop traces of cholesterol, fat, and calcium, creating a buildup of plaque in your arteries. Too much of it makes a heart attack more likely. If you don’t know your cholesterol levels, ask your doctor for a blood test. Keep in mind, there are two kinds of cholesterol. One is bad for your heart (LDL), and the other can protect you from heart disease (HDL). You can improve your levels with exercise and a diet low in unhealthy fats. Some people may also need to take medicine that lowers cholesterol. Don’t wait to lose weight. Ifyou If you have extra pounds, it can put your heart at risk. Exercise and a good diet help. Ask your doctor or a dietitian what your weight should be and how to get there. Ask about aspirin. Talk with your doctor about taking an aspirin every day. In some people, this reduces the risk of heart attack. Get a move on. Hit the treadmill or the trail. Walk around the neighborhood or go for a swim. Whatever activity best fits your needs, do it! Regular exercise can prevent heart disease, lower blood pressure, and improve your cholesterol levels. Be social. Stay in touch with your friends and family. Research shows that people with more social support are less prone to heart trouble. As you grow your network and make new friends, know that you might be good for their heart health, too.
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Hi I am 32 yes old. I smoke cigrate 30 pcs daily. Till 10 yes. I want to quit it. What should I do. Please advice check up as in my chest its pain a lot.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, you should definitely quit. You should visit a pulmonologist / physician for detailed investigation. Let them decide what are those check ups you need. You will need de-addiction therapy and nicotine replacement therapy for some time to tackle nicotine craving. Take care.
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Hi i am 42 years old and been through bypass surgery 8 years back as everything was fine nowadays I get lil heaviness while walking so I got all the tests done and all are normal still heaviness is there kindly guide.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Take calcarea phos 1m 1 dose / buy german medicine fruit juice daily 2 times for 1 year. After 2 weeks you must feel good, boiled food in lunch and dinner report me after 2 weeks.
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I'm 15 and my chest hurts right between my ribs but above my stomach hurts and I don't know why it's been going on for a few hours every once and a while When I get up When I go to sit down.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I'm 15 and my chest hurts right between my ribs but above my stomach hurts and I don't know why it's been going on fo...
You should take Acupressure therapy and take Biochemic Mag phos 200x +Kali mur 200x , 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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My father has pain in chest since last few days moreover he has cough problem from last few days. Kindly suggest what to do.

MD - Anaesthesiology
Anesthesiologist, Rohtak
My father has pain in chest since last few days moreover he has cough problem from last few days. Kindly suggest what...
See lybrate-user as you r saying he has constant cough prob. So chest pain may be muscular pain simply or it may be cardiac. Go for an ecg.
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