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Dr. Vinayak Varak

Cardiologist, Mumbai

Dr. Vinayak Varak 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. Vinayak Varak
Dr. Vinayak Varak is an experienced Cardiologist in Borivali West, Mumbai. He is currently practising at Spandan Heart Care Center in Borivali West, Mumbai. You can book an instant appointment online with Dr. Vinayak Varak on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 43 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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Shop No. 6, Hareshwar Niwas, Eksar Road, Dr. Varak Health Care Center, Borivali West Land Mark: Opposite Eksar Gavdevi MandirMumbai Get Directions
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I am 35 yes old, when I get laid down on the bed, my heart beat increase unfortunately, I consult many doctor but problem still not solve.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 35 yes old, when I get laid down on the bed, my heart beat increase unfortunately, I consult many doctor but pro...
To remove doubts about heart disease, do get checked for ecg, halter, blood for sugar and total lipids profile. Get back here for more guidance.
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What should I have to do regarding my problem pain in chest some time it is both side.

MBBS
General Physician, Mumbai
What should I have to do regarding my problem pain in chest some time it is both side.
Dear Lybrateuser, - Your pain could be due to acidity - chew your food well, do not skip meals, have meals on time, do not lye down for about an hour after meals, have dinner 2-3 hrs before bedtime - Avoid fried, spicy, sour & junk food - take syrup Gelusil, 2 teaspoonful three times a day half an hour after meals - have 7-8 glasses of water for proper digestion - do regular exercise like walking, jogging, playing games, swimming, also do yoga & deep breathing for 5-10 min daily morning to keep your body fit.
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13 Ways to Lower Blood Pressure

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
13 Ways to Lower Blood Pressure

13 ways to lower blood pressure:

1. Go for power walks

Hypertensive patients who went for fitness walks at a brisk pace lowered pressure by almost 8 mmhg over 6 mmhg. Exercise helps the heart use oxygen more efficiently, so it doesn't work as hard to pump blood. Get a vigorous cardio workout of at least 30 minutes on most days of the week. Try increasing speed or distance so you keep challenging your ticker.


2. Breathe deeply

Slow breathing and meditative practices such as qigong, yoga, and tai chi decrease stress hormones, which elevate renin, a kidney enzyme that raises blood pressure. Try 5 minutes in the morning and at night. Inhale deeply and expand your belly. Exhale and release all of your tension. (try these stress-busting yoga poses to relieve tension and check out this gorgeous yoga mat to complement your practice.)

3. Pick potatoes

Loading up on potassium-rich fruits and vegetables is an important part of any blood pressure-lowering program, says linda van horn, phd, rd, professor of preventive medicine at northwestern university feinberg school of medical. Aim for potassium levels of 2, 000 to 4, 000 mg a day, she says. Top sources of potassium-rich produce include sweet potatoes, tomatoes, orange juice, potatoes, bananas, kidney beans, peas, cantaloupe, honeydew melon, and dried fruits such as prunes and raisins.

4. Be salt smart

Certain groups of people—the elderly, african americans, and those with a family history of high blood pressure—are more likely than others to have blood pressure that's particularly salt (or sodium) sensitive. But because there's no way to tell whether any one individual is sodium sensitive, everyone should lower his sodium intake, says eva obarzanek, phd, a research nutritionist at the national heart, lung, and blood institute. How far? to 1, 500 mg daily, about half the average american intake, she says. (half a teaspoon of salt contains about 1, 200 mg of sodium.) cutting sodium means more than going easy on the saltshaker, which contributes just 15% of the sodium in the typical american diet. Watch for sodium in processed foods, obarzanek warns. That’s where most of the sodium in your diet comes from, she says. Season foods with spices, herbs, lemon, and salt-free seasoning blends. (for more ways to reduce your sodium, see 6 simple ways to lower your salt intake.)

5. Indulge in dark chocolate

Dark chocolate varieties contain flavanols that make blood vessels more elastic. In one study, 18% of patients who ate it every day saw blood pressure decrease. Have ½ ounce daily (make sure it contains at least 70% cocoa, like these cacao wafers).

6. Take a supplement

In a review of 12 studies, researchers found that coenzyme q10 reduced blood pressure by up to 17 mmhg over 10 mmhg. The antioxidant, required for energy production, dilates blood vessels. Ask your doctor about taking a 60 to 100 mg supplement up to 3 times a day.

7. Drink (a little) alcohol

According to a review of 15 studies, the less you drink, the lower your blood pressure will drop—to a point. A study of women at boston's brigham and women's hospital, for example, found that light drinking (defined as one-quarter to one-half a drink per day for a woman) may actually reduce blood pressure more than no drinks per day. One" drink" is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of spirits. Other studies have also found that moderate drinking—up to one drink a day for a woman, two for a man—can lower risks of heart disease" high levels of alcohol are clearly detrimental" says obarzanek" but moderate alcohol is protective of the heart. If you are going to drink, drink moderately"


8. Switch to decaf coffee

Scientists have long debated the effects of caffeine on blood pressure. Some studies have shown no effect, but one from duke university medical center found that caffeine consumption of 500 mg—roughly three 8-ounce cups of coffee—increased blood pressure by 4 mmhg, and that effect lasted until bedtime. For reference, 8 ounces of drip coffee contain 100 to 125 mg; the same amount of tea, 50 mg; an equal quantity of cola, about 40 mg. Caffeine can raise blood pressure by tightening blood vessels and by magnifying the effects of stress, says jim lane, phd, associate research professor at duke and the lead author of the study" when you're under stress, your heart starts pumping a lot more blood, boosting blood pressure" he says" and caffeine exaggerates that effect" if you drink a lot of joe, pour more decaf to protect your ticker.

9. Take up tea

Lowering high blood pressure is as easy as one, two, tea: study participants who sipped 3 cups of a hibiscus tea daily lowered systolic blood pressure by 7 points in 6 weeks on average, say researchers from tufts university—results on par with many prescription medications. Those who received a placebo drink improved their reading by only 1 point. The phytochemicals in hibiscus are probably responsible for the large reduction in high blood pressure, say the study authors. Many herbal teas contain hibiscus; look for blends that list it near the top of the chart of ingredients—this often indicates a higher concentration per serving. (see when your tea is perfectly steeped using this elegant glass teapot with infuser.)

10. Work (a bit) less

Putting in more than 41 hours per week at the office raises your risk of hypertension by 15%, according to a university of california, irvine, study of 24, 205 california residents. Overtime makes it hard to exercise and eat healthy, says haiou yang, phd, the lead researcher. It may be difficult to clock out super early in today’s tough economic times, but try to leave at a decent hour—so you can go to the gym or cook a healthy meal—as often as possible. Set an end-of-day message on your computer as a reminder to turn it off and go home. Follow these tips to make your weekends stress-free.

11. Relax with music

Need to bring down your blood pressure a bit more than medication or lifestyle changes can do alone? the right tunes can help, according to researchers at the university of florence in italy. They asked 28 adults who were already taking hypertension pills to listen to soothing classical, celtic, or indian music for 30 minutes daily while breathing slowly. After a week, the listeners had lowered their average systolic reading by 3.2 points; a month later, readings were down 4.4 points.

12. Seek help for snoring

It's time to heed your partner's complaints and get that snoring checked out. Loud, incessant snores are one of the main symptoms of obstructive sleep apnea (osa). University of alabama researchers found that many sleep apnea sufferers also had high levels of aldosterone, a hormone that can boost blood pressure. In fact, it's estimated that half of all people with sleep apnea have high blood pressure. If you have sleep apnea, you may experience many brief yet potentially life-threatening interruptions in your breathing while you sleep. In addition to loud snoring, excessive daytime tiredness and early morning headaches are also good clues. If you have high blood pressure, ask your doctor if OSA could be behind it; treating sleep apnea may lower aldosterone levels and improve bp.


13. Jump for soy

A study from circulation: journal of the american heart association found for the first time that replacing some of the refined carbohydrates in your diet with foods high in soy or milk protein, such as low-fat dairy, can bring down systolic blood pressure if you have hypertension or prehypertension.

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doctor. I am suffering from acute chest pain. It attacks suddenly and stays fr a couple of minutes. Whats the best thing I can do to deal with it.

MBBS
General Physician, Cuttack
doctor. I am suffering from acute chest pain. It attacks suddenly and stays fr a couple of minutes. Whats the best th...
For your age it could be due to stress and anxiety.Avoid stress.Take one tablet of crocin 500mg sos after food up to a maximum of 3 tablets daily,drink plenty of water and take rest at the time of chest pain. If you have recurrent attack of chest pain ,take ECG and consult doctor.Go for regular exercise.practice yoga,meditation and deep breathing exercise to calm your mind and relieve anxiety
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What happens when we get immediate low blood pressure and how to take immediate action against it?

MBBS
General Physician, Cuttack
Low BP 1. Drink plenty of water/ Nimbu pani 2.Increase salt intake 3.Take plenty of fresh green leafy vegetables, Fruits. Take 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. Do yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 10. Check your hemoglobin, monitor BP and consult physician for advice and treatment.
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I am 25 years old from last 1 month sometimes I am getting chest pain in left side.

MBBS
General Physician, Cuttack
I am 25 years old from last 1 month sometimes I am getting chest pain in left side.
1. For your age pain chest could be due to anxiety, stress, depression, physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3. Do regular exercise, reduce your weight if over weight. 4. Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5. Do yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6. Have sound sleep for 7-8 hours daily. 7. Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your bp, take ecg, x ray chest and consult physician for advice and treatment.
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I am suffering with high b. P since 5 yrs. NW in brain right side pain is coming. Both two legs below joint saviour pain. No erection. My age 35. Back below neck heavy pain is coming.

BAMS
Ayurveda, Ambala
I am suffering with high b. P since 5 yrs. NW in brain right side pain is coming. Both two legs below joint saviour p...
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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What are the symptoms of heart attack and necessary precautions required to avoid it and live healthy?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What are the symptoms of heart attack and necessary precautions required to avoid it and live healthy?
pain on left side of chest radiating towards left arm and hand , fainting , blackouts , vomittings , backache or some vague gastric symptoms- when in doubt , one must rule out a heart attack by doing simple tests. 2nd query-how to avoid heart attack - keep BP and blood sugar and Blood cholesterol in control , eat good fats , avoid bad fats , exercise moderately ,eat moderately , maintain disciplined lifestyle , avoid stress , meditate and do yoga , reduce weight if overweight and no smoking or polluted air.
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Hii doctors, I am 23, and 15 weeks pregnant today. From last 8 to 10 days I am having severe headaches mostly at night before going to bed. My blood pressure remains 110/70. In last 10 days it has only jumped twice from 110/70 to 130/90 or 140/90. Please suggest what to do as I this pain is not bearable. Feels like something will come out of my head. It pains from both sides and in middle also. Is this common during pregnancy? What can I do to get some relief?

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hii doctors,
I am 23, and 15 weeks pregnant today. From last 8 to 10 days I am having severe headaches mostly at nigh...
Hi first of all take this medication to reduce headache t dolo 650 mg once whenever you are having headaches next if your diastolic blood pressure remain more than 90 than you should require to take antihypertensive medicine please do one urine albumin test also thanks.
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Guidance for CAD, Heart Patients undergoing CABG

MBBS
General Physician, Delhi
Guidance for CAD, Heart Patients undergoing CABG

What is CABG?

CABG or Coronary Artery Bypass Grafting is a surgery done to improve blood flow to the heart. In most instances there is a fatty plaque (CAD or Coronary Artery Disease) in the vessels of heart which reduces the blood flow required for normal function. The plaque may grow or harden with time and reduces oxygen-rich blood reaching the heart. Lowering of the amount of oxygen reaching the heart may result in Chest Pain - called Angina. The plaque may even rupture and form clots on its surface. The clot formed may mostly or even completely block the blood flow - leading to Heart Attack or Myocardial Infarction.

In CABG, a normal vein or artery from the patient's body is connected to the blocked coronary artery. Thereby bypassing the obstructing plaque and creates a new path along which blood can now reach the heart.

What are other options for Treatment of CAD?

Other than CABG options for treatment of CAD include - Lifestyle changes, Medications, PCI or Balloon Angioplasty.

PCI is a nonsurgical option where the blocked artery can be opened and generally a stent is placed at the point of blockage to keep the blood flowing.

Goals of CABG

CABG is done to achieve the following

1. Reduce the symptoms (Chest Pain, Breathlessness etc)
2. Improve quality of Life and helps to resume a more active Lifestyle
3. Improved pumping action of the heart
4. Reduce chances of Heart Attack
5. Improve chances of survival

Who needs CABG?

CABG is a surgical treatment for CAD.

Your doctor may recommend CABG if other treatments have not worked or he judges it good in his clinical opinion.

Decision will be based on factors such as -

1. Severity, Location and number of blockages
2. Response to other treatments
3. Your quality of Life and severity of symptoms
4. Other Medical conditions that you might have
5. Your Age and Medical History

Medical Tests that may be required to determine the need are -

1. ECG
2. Echocardiography
3. Coronary Angiography

THE SURGERY

Outlook


CABG is a relatively safe Surgery. The safety of the procedure will depend on your age, existing heart function, and experience of the Doctor.

What to expect before

You will need to undergo a few tests to prepare you for CABG such as - Blood tests, Chest X-Ray, ECG, Echocardiography or maybe Coronary Angiography. Doctors that perform CABG are Cardiothoracic Surgeons.

Things to ask your Doctor at this Stage -

1. What you can eat or drink
2. What activities are you allowed to do (e.g. smoking)
3. What medicines to take (Share all the medicines that you are taking for any other conditions)
4. As the outlook for surgery is heavily dependent on the number of procedures a Doctor has performed - it will be a good idea to get information about his clinical experience.

If you have already undergone all the tests - surgery may be done on the same or a day after the admission.

What to expect after

You will require admission into ICU typically for 1 or 2 days, to monitor your progress better after the surgery. You will be given oxygen therapy while hospitalized. You may also be asked to wear Compression Stockings while your movement is limited.

After you leave ICU you will require admission in the hospital for about 4 - 6 days.

Recovery at Home

Things to ask your doctor before leaving the hospital.

1. How to care for incision wounds and stitches.
2. How to identify signs of infection
3. How to identify conditions for which you need to call the Doctor right away.
4. When to make follow-up appointments

Common side effects of CABG wear off within 4 - 6 weeks but may include.

1. Discomfort in area from where the vein was taken
2. Itching and swelling at incision wounds
3. Fatigue, Loss of Sleep, Loss of Appetite
4. Constipation

Full recovery from CABG takes 6 - 12 weeks.

Your doctor will advise you when you can resume specific activities. If your work is not too demanding physically, it is common to return to work after 6 weeks. You can resume sexual activities after 4 weeks and drive after 4 - 8 weeks.

Ongoing Care

At you follow up visits you will require to undergo tests such as ECG, Echocardiography etc. to see how much your heart has improved. CABG is not a cure for CAD. A complete Treatment will always involve Lifestyle changes, Reducing weight, Medications, and Cardiac Rehabilitation Exercises. Your doctor will prepare a treatment plan for you including these things. Be sure to pay attention to them as religiously as your Surgery.

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My mother is a heartattack patient and she is getting over tension felling down where she go.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My mother is a heartattack patient and she is getting over tension felling down where she go.
Hi, heart patients can take same homemade foods as other members. Only thing they should do is not to add extra salts at the table, food should be prepared with less oil, should contain more of green vegetables. Drinking sufficient waters if not advised restriction is also good.
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Hi doctor, I'm 22 years old. My heart beats more then 96 times per minute. Sometimes it beats more than 100also. Please say me why it happens like this. Do I have any heart disease. Recently a doctor suggested me to take a ECG TEST. And finally everything is normal in ecg. Except heart rate. HR: 96bpm.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hi doctor, I'm 22 years old. My heart beats more then 96 times per minute. Sometimes it beats more than 100also. Plea...
Do not worry do get BP checked. And echo - ultra sound of heart in the mean time when ever you have this problem take a glass of water, sprinkle ice cold water on face and take deep breath and force the air out with nose and mouth closed as you do when you r constipated - relax, go for morning walk for 30 mts and do deep breathing exercise for 10 mts report back after 7 days good luck.
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What could be reason of chronic fatigue even good exercise, rest and meal and in regular check up every thing was fine only cholesterol level was near to border.

MBBS
General Physician, Mumbai
What could be reason of chronic fatigue even good exercise, rest and meal and in regular check up every thing was fin...
I will suggest you to Get your blood checked for CBC and follow up with reports and I will suggest you to take injection vitcofol 2 cc intramuscularly every alternate days for five pricks over the buttocks through a health professional.
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i am Suffering from severe gas problem and chest pain. I will take selected food even then its happening.

MD , MBBS
General Physician, Aligarh
Dear . If u know u have gastritis. Take pantocid forte 1 tab b4 breakfast. Atleast half hour b4 for 7 days. Avoid oily stuff. And revert after a week
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I am a chain smoker. I smoke about 30-40 cigs evryday. Recently I noticed burning sensation in chest and lost my appetite. Is dat because of smokin or can it be because of something else. Coz ive been smokin fr bout 6 years and frm past 2 years its 30-40 cigs per day.

BHMS
Homeopath, Bhagalpur
Definitely acidity formed by smoking. You take undermentioned medicine. 1. Daphne indica 1x -2 tab thrice daily 2. Robinia 200 - 2 drops thrice daily
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What are the symptoms for Heart attack. And what are the first aid procedures to be done. When someone is affected by heart attack?

MBBS
General Physician, Cuttack
What are the symptoms for Heart attack. And what are the first aid procedures to be done. When someone is affected by...
Symptoms Of Heart Attack Pain chest or feeling of Tightness or Squeezing in chest Pain radiating to Jaw ,Back or Left arm Shortness of Breath Nausea, Vomiting Sweating Heart Burn and indigestion If the person is unconscious and his pulse and respiration has stopped, you have to do CPR (Cardiopulmonary Resuscitation). Learn CPR procedure from a first Aid center or consult a medical staff for practical demonstration
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How do I control cholesterol which is 232 and triglycerides 195.What is remedy in ayurveda?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How do I control cholesterol which is 232 and triglycerides 195.What is remedy in ayurveda?
avoid stress, go for walk daily. take green veg., digestive food, multivitamin,mineral foods,mineral water,fruits juice,take protein diet,amino acid foods. you can go for tests vit.B12, vit.D. mineral , amino acid.cbc. You can take syp. Noni 1 tsf in 1 glass of water once a day. Zenseng drop 6 drop in 1 glass of water twice of a day. Zenseng is natural medicines for all purpose in human body even sex.,it is not harmfull and side effects.
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I have got pain in right lower portion of my chest please after accident happened in 2006 is it a normal pain after an x-ray please my doctor please declare it only gastric please problem is it right

MBBS, DGO (cal)
General Physician,
If your x-ray has no abnormality, you can ignore and be rest assure it is not any complicated reason. Start doing exercise. This will go.
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I am suffering from back pain and also my back of my heart also pain while sitting in chair.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from back pain and also my back of my heart also pain while sitting in chair.
Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.
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Sir I have pain in the right side of chest. What can I do. But pain in winter season.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir I have pain in the right side of chest. What can I do. But pain in winter season.
It can be sprained or acidity and check an ecg anyway. As it is in winter it will be allergic bronchitis.
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