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Dr. Vivek Kewalkrishna Mehan

Cardiologist, Mumbai

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Dr. Vivek Kewalkrishna Mehan Cardiologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Vivek Kewalkrishna Mehan is a popular Cardiologist in Mumbai, Mumbai. You can consult Dr. Vivek Kewalkrishna Mehan at Dr Vivek Kewalkrishna Mehan's Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Vivek Kewalkrishna Mehan and consult privately on Lybrate.com.

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Mere seene mein halka sa dard hota tha Or ecg bhi nikala normal he, january 2016 may tmt test bhi karway tha wobhi normal he or 2 d eco bhi karwaya normal he ab Mere seene ke bech mein bhari pain mehsus hota hai kya karu.

MBBS
General Physician, Mumbai
Mere seene mein halka sa dard hota tha Or ecg bhi nikala normal he, january 2016 may tmt test bhi karway tha wobhi no...
Dear lybrateuser, -Your pain may be due to acidity -avoid spicy, fried & junk foods -take more of vegetables & fruits -take regular meals, donot skip meals, can have snacks inbetween meals if feel hungry -take over the counter antacids -consult a doctor.
2 people found this helpful
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I had a open heart surgery four months back. It was done by taking a vein from my left leg. It is cured but there is still swelling on the left leg and left foot. Please Advise the cure ?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician,
I had a open heart surgery four months back. It was done by taking a vein from my left leg. It is cured but there is ...
1. Due to the vein harvest blood flow is interupted in the normal flow pattern - so swelling occurs. 2. It will slowly settle down within 12 months.
7 people found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician,
Can High Cholesterol Lead To Diabetes?
=================================

When was the last time you checked your cholesterol levels?
Are you one of the many who do not get a regular health check up unless a medical condition necessitates it?
Well, if you are, you may be putting you are jeopardising your own health. This is because some diseases do not have overt physical signs or symptoms to warn you in time. One such condition is high cholesterol.
High cholesterol implies high level of bad LDL cholesterol in your body. It does not cause any physical symptoms. So, you are less likely to identify it till you get yourself tested for it.
Having high LDL cholesterol puts at risk for developing many other ailments. It is basically a silent killer disease.
What are the complications of high LDL cholesterol?
Well, high amounts of LDL cholesterol in your arteries can result in a number of complications. This happens because the plaque deposits inside your arteries and narrows them down. It makes less amount of blood to pass through these blocked arteries which may cause:
-Strokes
-Heart attack
-High blood pressure
-Chest pain or angina
-Chronic kidney disease
Can high cholesterol cause diabetes?
Diabetes is often associated with high cholesterol condition. High LDL cholesterol does not cause diabetes. In fact it’s the diabetes or insulin resistance that hikes up bad cholesterol in your body. High levels of insulin in your blood increase triglycerides and cholesterol.
High cholesterol happens when the sugar sticks onto the low density lipoprotein and it stays in our bloodstream for longer. These sticky plaques are very hard to remove and block your arteries. This leads to even greater damage from LDL cholesterol in comparison to LDL cholesterol without diabetes.
People with diabetes are more prone to high cholesterol. This is because diabetes lowers your good cholesterol known as HDL or high density lipoprotein and increases triglycerides as well as bad LDL cholesterol levels. This gets really dangerous for your health as it hikes your risk for getting a heart attack or a stroke. So, though diabetes and high cholesterol are inter-related, high cholesterol is the effect of diabetes.
If you are diabetic or pre diabetic, make sure your blood sugar levels are under check. It will prevent the further complication of having high cholesterol levels.
How to manage high cholesterol?
-The best way to manage high cholesterol is by taking appropriate medicines and improving your lifestyle by consuming a healthy diet full of fibre and nutrients and exercising daily.
-Keeping your blood sugar levels in check will also prevent LDL cholesterol levels from rising.
-Elevate good HDL cholesterol levels. Your bad cholesterol and triglycerides will automatically come down.
Consult and follow your doctor’s advice diligently.ASK ME PRIVATELY
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HI, I often get pains in my chest. And its from like a decade. Every two months I go through chest pain for 2-3 days. Please Advice

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
HI, I often get pains in my chest. And its from like a decade. Every two months I go through chest pain for 2-3 days....
Ultrasound of uterus and ovaries. General health check. Thyroid disease to be ruled out see a gynaecologist.
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My mother facing problem with bulking of legs and body and suddenly she becoming weaker B. P -not constant sometimes high and sometimes less Sugar - 120 (before food) 185 (after food) Cholesterol 364 mg/DL Please give me reasons and how to control.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother facing problem with bulking of legs and body and suddenly she becoming weaker
B. P -not constant sometimes ...
Mr Suresh, Most important is her blood sugar and BP both need to be very well controlled. Fasting should be closer to 100 mg and PP should be 150 to 160 mg and HbA1c% <7. BP should be <130/80 mm Hg. This is essential and will help in giving her better fitness. She also should take a proper balanced diet that gives exact calories based on ideal body weight, sugar levels and extent of daily exercise. Should avoid sweets, deep fried foods, junk foods, pastries, aerated sweetened drinks and products containing fructose corn syrup. Should consume good amount of green leafy vegetables, salads and permitted fruits. she should refrain from butter, and ghee. If you want specific suggestions please come in a private conversation where I will be able to give specific guidelines.
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Hi. My legs were broken few days ago. After that my weight gone up from 90kg to 100kg. I'm a hypertension patient. For that I take regular medicines. But i'm tensed from my increasing weight. I was in gym earlier. That time my physics was good. But now its gone worst. I need a perfect diet chart so I can loose my weight.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Hi. My legs were broken few days ago. After that my weight gone up from 90kg to 100kg. I'm a hypertension patient. Fo...
Hello Mr. lybrate-user kumar WEIGHT LOSS DIET Things to be followed 1.No salt intake after 7: 30 am 2.No aerated drinks. Even Liquor too. 3.Restrict mango and banana. 4.Restrict potato and rice. 5.No artificial juices. 6.Half an hour aerobic exercise daily. Joining a gym for workout will be a better option. 7.20 mins of breathing exercise (pranayam). 8.Avoid Rajmah, Channa, Peas, Mushroom, Gobi, Pumpkin, Leafy vegetables, Capsicum, Paneer, Cheese, Curd, Non Veg, Maida related items (like Bread, bun, pizza, burger etc), Deep fried and spicy food, Sweets, Sugar, carbohydrate rich fruits like apple, Sapota, Banana etc. 9.Avoid rice intake in the morning and strictly in the night. 10.Avoid intake of refrigerated food in the morning, prepared previous night. 11.Intake of food should be on time without skipping even a single meal. 12.Maintain min two hours of gap between dinner intake and sleep. 13.Consume minimum eight glasses of water a day. 14.“Early to bed and early to raise” should be strictly followed. Sleeping Late night should be strictly avoided. 15.Have fruits only in the noon time. Avoid fruits consumption in the night (occasionally can be taken before dinner). 16.Stop intake of milk during bed time. 17.Bathing should be before food intake only. 18.Tea, milk intake should be twice a day preferably morning and evening. Coffee intake should be strictly avoided. DIET PLAN FOR Week 1 6: 30 am (as soon as you wake up) – 2 glasses of methi seeds water (soak 1tsp of methi seeds in 2 glasses of water. Strain out the methi seeds and drink the water. Helps a lot in water retention and bloating) 7: 30 am – ginger tea/ green tea. 9: 00 am – One bowl Papaya or 200 ml Mongdal gruel with little jaggery. 11: 30 am – four cucumber slices/raw raddish 1: 30 pm – A small plate of salad before starting the meal. The fibers in the salad fills you up which in turn prevents false hunger that makes you overeat. 1dry chapati with 1 bowl of dal, with one bowl rice, rasam, 1 glass buttermilk. 5: 00 pm – 1cup of milk or tea with 2 biscuits (just marie, no other biscuits) 8: 30 pm –A small plate of salad before starting the meal. 2 or 3 dry chapati with vegetable curry or dal. When this week ends, you can see reduction in weight up to 1.8 kilos. U lose the max in this week because you lose all the water weight and the bloating as well. The further weeks you are surely going to lose weight but it won’t be this much. Week 2 6: 30 am (as soon as you wake up) – 2 glasses of tulsi leave water (soak 5 tulsi leaves in 2 glasses of water. Strain out the leaves and drink the water.) 7: 30 am – ginger tea/ green tea. 9: 00 am – 1 bowl of veg salad or Semi liquid gruel (lightly salted and flavored with pepper, Jeera, Ginger, Garlic, coriander, pudina) prepared out of broken barley. 11: 30 am – Small bowl papaya without peeling skin. 1: 30 pm – A small plate of salad before starting the meal. 1dry chappati with 1 bowl of dal, with one bowl rice, rasam, 1 glass buttermilk. Or Only 3 dry Chappatis with veg curry and 1 glass buttermilk. 5: 00 pm – 1cup of Coffee/milk/ tea with 2 marie biscuits only. 8: 30 pm –A small plate of salad before starting the meal. 2 or 3 dry chappati with vegetable curry or dal, 1 cup ginger flavored buttermilk. This week you can lose up to 0.9 kgs Week 3 6: 30 am – 10 ml of Karela, amla juice with 1 glass of luke warm water. 7: 30 am – ginger tea/ green tea. 9: 00 am – salted and flavoured Green gram gruel or Rava gruel semi liquid consistency 200 ml. 11: 30 am – four cucumber slices. 1: 30 pm –one bowl allowed veg or fruit salad, 2 chappati and vegetable dal. 5: 00 pm – 1cup of milk/ ginger tea, green tea or 1bowl popcorn (air popped popcorns without the butter) 8: 30 pm –1 bowl broken wheat with rasam or dal, 1 cup buttermilk. Week 4 6: 30 am – Triphala ras 10 ml with 1 glass warm water. 7: 30 am – ginger tea/ green tea. 9: 00 am – 1 glass Broken wheat gruel 11: 30 am – one bowl veg salad. 1: 30 pm – 1 bowl broken wheat with rasam, 1 cup buttermilk. 5: 00 pm – 1cup of milk/ ginger tea/ green tea 8: 30 pm – 2 dry chappati with 1 bowl vegetable or Dalia kichdi, and 1 cup buttermilk. By the end of the month you will definitely be losing 2-4 kgs Repeat the same diet for 4 months.
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I frequently get back pain and I can't walk much because my heart starts beating fast. What's the matter with me?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I frequently get back pain and I can't walk much because my heart starts beating fast. What's the matter with me?
sir go for a complete detox of ur body with the help of ayurveda's Panchakarma therapy. It includes Abhyangam (Massage with medicated oils) n medicated steam bath. this wud rejuvenate ur body - improving ur work efficiency and bettering ur sleep. These procedures will take out the harmful toxins out of ur body - cleansing ur body. Also take Shirodhara which would completely take the stress out of ur body and u will feel light, fresh and full of energy.
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He is a patient of hypertension since 5 yrs. He doesn't has proper diet. What should be his diet so as to avoid any other heart disease and also lower down his bp up to normal.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
He is a patient of hypertension since 5 yrs. He doesn't has proper diet. What should be his diet so as to avoid any o...
Hypertension Diet Drugs do not remove the cause, nor do they cure the condition. All drugs against hypertension without exception, are toxic and have distressing side-effects. The fast way to cure hypertension is to eliminate the poisons from the system, which cause it. Persons with high blood pressure should always follow a well-balanced routine of proper diet, exercise and rest. Meat and eggs cause blood pressure to rise more than any other food. The pressure is lowered and blood clotting diminished by taking a diet with a higher fruit content, lower protein and non-flesh diet. A natural diet consisting of fresh fruits and vegetables, instead of a traditional diet, is helpful in getting rid of the poisons from the body. A hypertension patient should start the process of healing by living on an all¬ fruit diet for at least a week, and take fruits at five-hourly intervals, thrice a day. He should take juicy fruits such as oranges, apples, pears, mangoes, guavas, pineapples and grapes. Milk may be taken after a week of a diet of fruits only. The milk should be fresh and boiled only once. The patient can be permitted cereals in the diet after two weeks. Vegetables are also good for a patient of hypertension. They should preferably be taken raw. If they are cooked, it could be ensured that their natural goodness is not destroyed in the process of cooking. Vegetables like cucumber, carrot, tomato, onion, radish, cabbage and spinach are best taken in their raw form. They may be cut into small pieces and sprinkled with a little salt and the juice of a lemon added to them so as to make them more palatable. The intake of salt should be restricted; in any case it should not be taken more than four grams or half a teaspoon per day. Baking powder containing sodium carbonate should also be avoided. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. Garlic also slows the pulse and modifies the heart rhythm besides relieving the symptoms of dizziness Numbness shortness of breath and the formation of gas within the digestive tract. The average dosage •should be two to three capsules a day to make a dent in the blood pressure. There I an important relation between dietary calcium and potassium and hypertension. It is found that people who take potassium rich diets have a low incidence of hypertension even it they do not control their salt-intake. They have also found that people with hypertension do not seem to get much calcium in the form of dairy products. The two essentia1 nutrients seem to' help the body throw off excess sodium and are involved in important functions which control the working of the vascular system. Potassium is found in abundance in fruits and vegetables and calcium in dairy products. The patient of hypertension should follow a plan of a well-balanced diet in which the constituents of food should be approximately in the following proportion: carbohydrate twenty per cent protein ten to fifteen percent fat five per cent and fruits and vegetables sixty to sixty-five per cent. In this plan one main meal should be based on raw foods while the second main meal may consist of cooked foods. Meals should be taken slowly and in a relaxed atmosphere. Food should be well masticated as the process of digestion begins in the mouth. The dinner should not normally be taken late.
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I have been smoking since 2 years. and I have pain in my chest. Should I go for cancer test, please reply ?

MBBS
General Physician, Mumbai
Just do routine investigation and never think of cancer first and leave it to your dr to diagnose it and let you know.
3 people found this helpful
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My mother's BP was 180/130 yesterday they sent to emergency for an ECG. Now BP meds have been changed from atenol 50 mg to atenolol and amlog combination. What precautions we have to take for this.

BAMS
Ayurveda, Ambala
My mother's BP was 180/130 yesterday they sent to emergency for an ECG. Now BP meds have been changed from atenol 50 ...
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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Hello. I have hyperacidity problem since last one year n I have following prescribed high alkaline diet in order to keep acid at bay. But suggest me a permanent solution for my problem I experience hell lot of burps and upper back pain n chest pain in left most region of chest So please tell me permanent solution for my problem.

MD - Homeopathy
Homeopath, Gandhinagar
Hello. I have hyperacidity problem since last one year n I have following prescribed high alkaline diet in order to k...
Hello Change in your diet & regimen is best solution for you. Take half cup of Lauki's juice in morning empty stomach for 7 days Eat the food which are rich in fibre Do not sleep after eating Walk for 10 min immediately after eating it will improve your digestion. Take homoeopathic medicine lycopodium 200 4globules in morning. Thanks.
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Hi my father is a heart patient. He feels slight pain in chest while walking which gets normal within min if he sits down. And sometimes this pain occurs right after having dinner while sitting. His engeography report says average 40% blockage of each valves. What do you say this pain is a heart pain or something else.

MBBS
General Physician, Ahmedabad
LIKELY HEART PAIN. IS HE BHAVING HIGH BP//DIABETES//HIS BODY WEIGHT//ANY HABITS? WHAT CURRENT MEDICINE NHE IS TAKING? CAN ASK PRIVATELY WITH DETAILS. NO NEED TO WORRY ABOUT 40% BLOCKS.
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I am 20 year old male. Having belly pain last 15 days .my whole belly is pain and sometimes chest pain. Sometimes left of belly and right of belly, middle of belly pain. What can I do now? Please help me doctor.

MBBS
General Physician, Mumbai
I am 20 year old male. Having belly pain last 15 days .my whole belly is pain and sometimes chest pain. Sometimes lef...
Dear lybrateuser, -avoid spicy, fried & junk food, have bland, fresh homemade food -take syrup gelusil, 2 teaspoonful 20 min before meals three times a day -take a capsule spasmindon if pain is more -do not skip meals, take meals on time, have dinner 2-3 hrs before bed time -have 8-10 glasses of clean, filtered water -do regular exercise for properdigestion, also include yoga.
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Dr, I have most of the problems that you have mentioned for the past 3, 4 years. I am frequently taking blood test to check sugar, cholesterol and Thyroid. As my mom and dad has diabetes. My TSH level is around 8-9. My reports don't show any changes in Sugar levels.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Dr, I have most of the problems that you have mentioned for the past 3, 4 years. I am frequently taking blood test to...
Take Arsenic 0/4 one dose and Cosmos 30C daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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I am 30 years old female and sometimes I found low blood pressure may once in a month what should I do what is treatment for this disease please tell me.

MS - General Surgery, MBBS
General Surgeon, Delhi
Keep monitoring your blood pressure and keep yourself hydrated with good liquid intake. Nothing alarming as such.
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Can children have heart problem....???

MD-Physician, PGDCC
Cardiologist, Jaipur
Can children have heart problem....???
It is a typical myth that heart problems can only occur in adults and aged people.

Fact is - children can also be having heart diseases! which are called congenital or by birth heart diseases.
These ones include- septal defects like- asd, vsd (hole in the heart), valvular diseases, heart malformations, pda and even adult like coronary heart disease.

Signs and symptoms can be-
Easy fatigue,
Difficulty in breathing
Sometimes bluish discolouration of skin
Chest pain
Palpitation etc.

For such issues, consult a cardiologist as soon as possible.
1 person found this helpful

I have difficulty in swallowing solid food. I do not face this problem during breakfast. During lunch and dinner I feel like food is getting stuck in my chest. I do not have any pain.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I have difficulty in swallowing solid food. I do not face this problem during breakfast. During lunch and dinner I fe...
Dear Abhay, chew your food properly and make sure you are swallowing it moist and not dry. Eat juicy meals. not dry , fried, cold, old food. Eat slowly. Mostly, you must be rushing between classes or work and gulping down your food. This will cause futher discomfort. Relax and eat.... regards
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Pacemaker For Heart Failure And Its Implications

DM (CARDIOLOGY), MD (MEDICINE), MBBS
Cardiologist, Gurgaon
Pacemaker For Heart Failure And Its Implications

The treatment of heart disease has come a long way and one of the more important and fairly common devices used to correct rhythmic problems of the heart is a pacemaker. A pacemaker is a device which is put inside the chest or sometimes even the abdomen to send electrical pulses to the heart to keep it beating at a normal rate.

Pacemaker for heart failure

However, the implications in case of heart failure make the usage of the pacemaker much more complicated. In such cases, the device used is a special type of pacemaker which is also called a bi-ventricular pacemaker. This device sends electrical signals to pump the ventricles of the heart so that they can pump at the same time.

There are many factors to be aware of before undergoing this treatment. Some of the factors to consider are mentioned below.

  • Requirement for a pacemaker in case of heart failure - When a patient has heart failure, their ventricles or lower chambers of the heart aren't able to pump enough blood into it. This could be due to physical problems with the heart or problems with the electrical system within it which cannot function normally. The doctor will perform multiple tests to determine whether a patient is the right candidate for a pacemaker for heart failure.
  • The procedure - In most cases the device is fitted into the chest and it is done without an open heart surgery. Precautions and post operative care for a minor surgery should be followed. The doctor makes a minor incision on the chest and then inserts the device along with three leads which are connected to the ventricles to ensure they keep pumping properly. Sometimes another device known as the ICD or the implantable cardioverter-defibrillator may be put in to shock the heart back to a normal rhythm in extreme cases where the change of sudden death from high heart rate is a possibility.
  • Immediate post operative care - As mentioned above, the surgery involved in putting a pacemaker is a minor one and the patient is usually discharged in next 2-3 days or may be more depending on the comorbidities & complexity of the scenario. However, in most cases, people can go home the next day fairly easily although some monitoring is done for the next few days with daily reporting.
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