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Dr. M Nibalkar

Cardiologist, Navi Mumbai

400 at clinic
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Dr. M Nibalkar Cardiologist, Navi Mumbai
400 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. M Nibalkar
Dr. M Nibalkar is a popular Cardiologist in Panvel, Navi Mumbai. You can visit him at Sai Child Care Clinic in Panvel, Navi Mumbai. Save your time and book an appointment online with Dr. M Nibalkar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 40 years of experience on Lybrate.com. Find the best Cardiologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Sai Child Care Clinic

Amrut Plot, Plot No 3/5/7, Sector No 19, Vijay Marg,New Panvel. Landmark: Opposite Fire Brigade Station, Navi MumbaiNavi Mumbai Get Directions
400 at clinic
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I am 63 year old male no sugar BP normal with medicine. My problem is 20 year back operate on my right leg hip joint with nailing. 3 year back remove nails. My right leg short about half inch. I walk limb. And due to that full body load come on left side leg. Now days my left side leg pain in knee. For that pl. Suggest medicine or treatment.

BPTh/BPT
Physiotherapist, Kota
I am 63 year old male no sugar BP normal with medicine. My problem is 20 year back operate on my right leg hip joint ...
Leg & Hip pain k liye ap exercise kijiye I hope you feel well. Hip Strengthening – Basic Exercises To begin with, the following basic hip strengthening exercises should be performed approximately 10 times, 3 times daily. As your hip strength improves, the exercises can be progressed by gradually increasing the repetitions and strength of contraction provided they do not cause or increase pain. Bridging Begin this exercise lying on your back in the position demonstrated (figure 1). Slowly lift your bottom pushing through your feet, until your knee, hip and shoulder are in a straight line. Tighten your bottom muscles (gluteals) as you do this. Hold for 2 seconds and repeat 10 times. Hip Extension in Lying Begin this exercise lying on your stomach in the position demonstrated (figure 2). Keeping your knee straight, slowly lift your leg tightening your bottom muscles (gluteals). Hold for 2 seconds and repeat 10 times. Adductor Squeeze Begin this exercise lying in the position demonstrated with a rolled towel or ball between your knees (figure 3). Slowly squeeze the ball between your knees tightening your inner thigh muscles (adductors). Hold for 5 seconds and repeat 10 times as hard as possible pain free. Figure 3 – Adductor Squeeze Hip Abduction Sidelying Begin this exercise lying on your side in the position demonstrated (figure 4). Keeping your back and knee straight and foot facing forwards, slowly take your leg to the side tightening the muscles at the side of your thigh / hip (abductors). Hold for 2 seconds and repeat 10 times as far as possible pain free. Hip Abduction Standing Begin this exercise standing at a bench or table for balance (figure 5). Keeping your back and knee straight and foot facing forwards, slowly take your leg to the side tightening the muscles at the side of your thigh / hip (abductors). Hold for 2 seconds and repeat 10 times as far as possible pain free. Straight Leg Raise Begin this exercise lying on your back with one leg straight and one leg bent (figure 6). Slowly lift your straight leg to approximately 45 degrees keeping your knee and toes facing the ceiling. Hold for 2 seconds and repeat 10 times provided it is pain free. Hip Flexion Begin this exercise standing at a bench or table for balance (figure 7). Slowly lift your knee up as high as you can while keeping your back straight and tightening the muscles at the front of your hip (hip flexors). Hold for 2 seconds and repeat 10 times as far as possible pain free.
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I am a Doctor. I have recently detected Hypertension since one month. I went cardiologist nearby and he starts Tab. Amlovas 5 my since one month back Now l feel better. So Doctor what you will be suggest for me how long Tab. Amlovas 5 mg to be taken?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology, Interventional Cardiology and Cardiac Electrophysiology
Cardiologist, Delhi
I am a Doctor. I have recently detected Hypertension since one month. I went cardiologist nearby and he starts Tab. A...
Blood pressure medication are meant to be taken for long term, the dose should be decreased or stopped only with advise of your physician.
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Last 3 months I am feeling discomfort in liver side, after endoscopy feeling like this, but the report is normal, ECG is normal ultrasonic scan reports are normal but discomfort besides chest catch also, after drinking Luke warm water feeling ok, it is affecting my job also do the needful doctor.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Last 3 months I am feeling discomfort in liver side, after endoscopy feeling like this, but the report is normal, ECG...
You have told us the cause and treatment- you get better after drinking warm water-means acid collected in stomach gets washed away. Drink warm fluids like clear soups, warm water with honey and lemon, green tea or mild tea/coffee, warm water with meals. Make it a habit to drink warm water only but do take cold puddings/beverages once in a while. Good to know about your normal reports.
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My heart beats upto 100 bpm or more and my blood pressure is 160\90. Am a 16 year old boy. I can feel my heart beats. Is it is any problem?

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
160/90 at this age isn't normal. Check it again for next 2 days and if still on higher side, let me know. We will run some tests.
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My wife is in her first month of pregnancy and she is feeling cramps and pain in her stomach just below the chest. What should she do at this time?

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
My wife is in her first month of pregnancy and she is feeling cramps and pain in her stomach just below the chest. Wh...
Dear Pregnancy causes changes in the hormones and the resulting changes in the internal belly. Cramps can be due to gas formation or acidity that is again common in early pregnancy. Encourage her to eat fresh natural foods, fruits and walk daily for about 30 to 45 mins slowly and comfortably. Make sure she stays away from any kind of food that causes discomfort, acidity, gas or is too heavy to digest. Regards.
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I have cholesterol but some days I stop taking medicine so I'm feeling dizziness sometimes it's because of high cholesterol?

BAMS
Ayurveda, Ambala
I have cholesterol but some days I stop taking medicine so I'm feeling dizziness sometimes it's because of high chole...
To reduce cholesterol in body : * Avoid Butter , Ghee & cream in your diet . * Eat five leaves of Kari patta and five leaves of neem once in a day . * Avoid non veg( chicken, fish) food because it contain high fat content. * Do running and jogging daily for 15 minutes . Start with 5 minutes then increase time period slowly.Do morning and evening walk daily . * Do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * Add Kali mirch( black pepper ) in your breakfast . * Drink 6 to 7 glass of water daily . * Take sound sleep in night of 6 to 7 hrs .Do not take stress . *Take one tablet of GUGGALU of HIMALAYA company once a day. You can consult me privately for more medicine treatment & doubts.
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I am 34 years old. What is the symptoms of heart attack. That time what can first aid do. Next one .what is the problem problem of heart failure?

MBBS
General Physician, Mumbai
I am 34 years old. What is the symptoms of heart attack. That time what can first aid do. Next one .what is the probl...
Dear lybrateuser, -Symtoms of heart attack are pain, tightness or pressure in the chest, nausea, indigestion, heartburn or stomach pain, pain that spreads to the left arm ,jaw or back, feeling dizzy or lightheadedness, profuse sweating. -make the patient lye down, reassure the person, give a tablet of aspirin if available to chew, rush to the nearest medical setup in the golden hour where icu/ccu facilities are available -heart failure is a condition in which the heart can't pump enough blood to meet the body's need, in some cases heart can't fill with enough blood & in some it can't pump enough blood.
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I have been diagnosed with high blood pressure. Will I have to take medication for the rest of my life?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have been diagnosed with high blood pressure. Will I have to take medication for the rest of my life?
yes, you have to take regular medication. time to time follow up is required, like monitoring of bp.
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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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Sir! When I take breathe there is a big pain in my shoulder. What is this problem. Can you tell Me please.

International Academy of Classical Homeopathy, BHMS
Homeopath,
hi tak rhus tox 200 once a day for 3 days arnica 30 3tims a day symphytum 30 3tims a day hyperi200 once a day for 3 days
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Hello everyone: I know this is something all of us have dealt with at one time or another, but I just wanted to see what your coping mechanisms are and maybe someone can talk me off the ledge?:-) Last month, I started having right-side flank pain and now I have pain/burning below my right rib,

MBBS
General Physician, Mumbai
Hello everyone: I know this is something all of us have dealt with at one time or another, but I just wanted to see w...
Flank Pain can be due to ureteric colic and below rib pain could be due to cholecystitis and we have to confirm it by doing an ultrasound abdomen
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I have got 3 scents fitted at narayana health care at bangalore kindly advice what precautions I should take to live healthy I am 71 years.

MD - Pathology, MBBS
Pathologist, Ahmedabad
Regular medicine, exercise, as per your doctor' s advise echo and tmt, regular visit to your cardiologist, should not gain weight, keep your blood pressure within range, no fatty food, try to keep your lipids within range
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Hi. I have daily mild headache in the evening /night along with tiredness. Last week also had weird dizzy/jerky feeling. Bp today was 110/86. Also had perforated eardrum. Please advice what could be the reason. Anything that can improve it.

MBBS
General Physician, Mumbai
Hi. I have daily mild headache in the evening /night along with tiredness. Last week also had weird dizzy/jerky feeli...
Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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At age 28, when I randomly went for a health check up. I was bit surprised and shocked. My BP was on a higher side. 160+ / 84+ Doctor advised me for a detailed investigation/diagnosis of it frm a specialty hospital. My question here is what are the reason to have such BP at dis age ? I don't have any major health issues till now. What do I need to control this from now on ? What diet should I follow and does over masturbation (5-6 times a week) cause this BP to b always on higher side? Please advise.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
At age 28, when I randomly went for a health check up. I was bit surprised and shocked. My BP was on a higher side. 1...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause..Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week
1 person found this helpful
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When standing or walking my blood pressure goes down. If I sit down or lie down blood presssure recovers and comes back to normal. How to remedy this situation?

MBBS
General Physician, Ahmedabad
This is called orthostatic low bp//hypotension. Common in old age//with some medicines and hypovolemia. R you taking medicine for bp or enlarged prostate? meanwhile while getting up from bed -rest on bed few minutes in sitting position this will prevent low bp. Take adequate food--liquids.
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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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My husband's bp was increased. Now he is ok after taking tablet .his bp is also normal. But he is not feeling well, weakness,he come over dizzy in mind. He feeling that he will fall down. Please suggest us what will be reason. We are continuously contacting Dr. but the they not diagnose.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Noida
My husband's bp was increased. Now he is ok after taking tablet .his bp is also normal. But he is not feeling well, w...
Hello Lybrate user As you asked about your problems related to your husband 's dizziness I would like to advise you to follow regular daily routines of getting all dietary measures and daily behaviours as well as yoga and exercise every day. He may practice Meditation twice daily with ANULOM VILOM PRANAYAM 5 minutes. He may use light diets and soups of carrots and Beetroots and green vegetables and moong daal soups fried with cumin seeds and ghee and garlic and warm milk boiled with ginger, haldi and nuts every day before going to bed and at breakfast. He may follow some Ayurveda medicines as given below. Ashwagandhrist ---20 ml SARASWATARIST -'-20 ml Twice daily with water after meals. He may has complete bed rest.
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My father has gone through heart bypass surgery in july16. Currently all his reports are normal and doing well. Have read red wine is good for heart, is it advisable for him to consume 750 ml in a month. Plse advise.

MD PHYSICIAN
General Physician, Delhi
My father has gone through heart bypass surgery in july16. Currently all his reports are normal and doing well. Have ...
Light alcohol consumption was associated with a 25 per cent reduction in additional heart procedures, heart attacks or strokes. However, the study found heavy-drinking bypass patients - those who had six or more drinks a day - were twice as likely to die from heart problems. So the intake should be in moderate volume.
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