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Dr. Aniruddha Tongaonkar

Cardiologist, Pune

300 at clinic
Dr. Aniruddha Tongaonkar Cardiologist, Pune
300 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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#17, S. No. 47, Opp. Bajaj Auto, Viveknagar, Akurdi. Landmark: Behind Hotel Bramha, PunePune Get Directions
300 at clinic
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#17, S. No. 47, Opp. Bajaj Auto, Viveknagar, Akurdi. Landmark: Behind Hotel Bramha, PunePune Get Directions
300 at clinic
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#3, 2nd Floor, Ganaraj Complex, Pradhikaran Road, Akurdi. Landmark: Near Mahalasakant Chowk.Pune Get Directions
300 at clinic
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I am 30 yrs of age. I have been having a BP of around 140/110. What could be the reason for such a high BP?

BAMS
Ayurveda, Ambala
I am 30 yrs of age. I have been having a BP of around 140/110. What could be the reason for such a high BP?
Causes of High BP: * High salt intake * Excess consumption of Alcohol , coffee * Obesity ( overweight ) * Lack of Exercise ( sedentary lifestyle ) * Due to lack of sleep . * Due to Anxiety
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Hi. Iam ranjeet singh my question is what are the major causes of uncontrolled hypertension & how it controlled. I hope you give a better opinion. Thankyou.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi. Iam ranjeet singh my question is what are the major causes of uncontrolled hypertension & how it controlled. I ho...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning...
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I have blocked stomach since 3 days. I have pain in my chest. I have eaten food but it not coming out of excretory system. I have eaten Ayurvedic medicine but it only reduce pain .I have fever around stomach not in head.

MBBS
General Physician, Mumbai
I have blocked stomach since 3 days. I have pain in my chest. I have eaten food but it not coming out of excretory sy...
Dear Lybrateuser, - Your problem is due to constipation - increase fibre intake in your diet, have more vegetables (5-6) servings per day, fruits (2-3) per day, beans, sprouts lentils, wholegrains - drink 8-10 glasses of water for proper digestion & removal of toxins from the body - do regular exercises like brisk walking, jogging, cycling, swimming for 20-30 min, do yoga, deep breathing for proper digestion - take liq Cremaffin, 1 table spoonful after dinner at night - if fever is there then take tab paracetamol 1 tab three times a day.
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High Blood Pressure - All You Need To Know About It!

Non Invasive Services
Cardiologist, Mohali
High Blood Pressure - All You Need To Know About It!

The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease.

Causes of increased blood pressure: 

  1. Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN).
  2. Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN. 

Other Causes of secondary hypertension are: 

  1. Kidney problems
  2. Thyroid hormone disorders 
  3. Congenital heart defects 
  4. Chronic alcohol abuse 
  5. Adrenal gland tumours 
  6. Chronic use of medications like birth control pills, pain killers, etc. 

Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are: 

  1. Age 
  2. Family history 
  3. Being obese or overweight 
  4. Sedentary lifestyle
  5. Smoking 
  6. Alcohol consumption 
  7. Excessive salt intake 
  8. Stress levels 
  9. Ethnic background 

Symptoms: 

  1. Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure. 
  2. Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken. 
  3. If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings. 

Management: 

This includes a combination of diet and lifestyle modifications. 

  1. Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements. 
  2. Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously. 
  3. Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve. Please find attached and reviewed copy for health tip for posting. If you wish to discuss about any specific problem, you can consult a cardiologist.
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Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnant so doctor lowers my bp medicine depin return 20 bt my bp never comes below 140/ 80. My doctor alsi prescribes me duphaston 10 mg. I have searched on net and got that it increases high bp sometimes. I am confused and taking the medicine and feeling worried to ask my doctor also if he will disappoint with my asking. Duphaston medicine is for protection. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnan...
What you are suffering is called hypertension. And it needs medicines because the body's bp needs to be regulated or else it will cause damage to the vital organs like brain, kidneys etc. Now that you are pregnant, the medicines must be continued, as they were. There is no need to reduce medicines unless you have symptoms related to it. As the medicines are reduced, the bp is remaining high, and not coming below 140/80. In a pregnant woman with hypertension usually there are chances of abortion, and intrauterine bleeding etc. Along with seizures (fits). Usually in pregnancy, the woman's blood volume rises and this happens from 5-7 month. During this period there is a chance of developing hypertension which is now called pregnancy induced hypertension. Since you already have high bp, if your bp increases after 20 weeks it will need special care of the fetal nourishment and growth must be monitored. Depin is safe in pregnancy and there are other drugs too which can be given. Talk to your doctor and ask the gynec about the reduced dose. If required take a second opinion. Usually in patients having previous abortions, progesterone is given to protect the pregnancy and prevent abortion. There are many types of progesterone. Natural micronised progesterone, injectable progesterone, and some synthetic progesterone. Duphaston falls in progesterone category. It is not known to cause high blood pressure but it has water retaining properties which may have alerted you. But you can talk about it to your gynec and doctor may change duphaston to other progesterones.
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I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I cough hard. Can you suggest what should be done.

BHMS
Homeopath, Faridabad
I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I cough hard. Can you suggest what ...
Hello, take Senega pentarken , 2 tabs thrice daily. Alpha CC , 2 tabs twice daily . Alpha COff , 2 tsp ,with hot water,thrice daily. Revert me after 7 days.
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Dear respected doctors. What are the symptoms if any baby have hole in heart? Is it shows any symptoms?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Dear respected doctors. What are the symptoms if any baby have hole in heart? Is it shows any symptoms?
Common symptoms of adult congenital heart defects include: Shortness of breath, especially during exercise. Tiredness. Cyanosis (a blue tint to the lips, skin, or fingernails caused by a lack of oxygen) A heart murmur. Abnormal heart rhythms (arrhythmias) Swelling of the extremities.
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Heart health...

M. Sc. Foods, Nutrition & Dietetics, B.Sc-Home Science
Dietitian/Nutritionist, Visakhapatnam
Heart health...
eat fish high in omega-3s, such as salmon, tuna, mackerel, herring and trout. A handful of healthy nuts such as almonds or walnuts will satisfy your hunger and help your heart. Berries are chock full of heart-healthy phytonutrients and soluble fiber.
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I have not been able to sleep for last 3 days and I am having a severe head ache and an pain in my chest. What should I do to come above this?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have not been able to sleep for last 3 days and I am having a severe head ache and an pain in my chest. What should...
Hi one of the simplest and most effective ways to induce sleep is to rub some oil on the scalp and the soles of the feet before going to bed. Use sesame oil, brahmi oil, jasmine oil, or coconut oil and massage gently for a few minutes. Slightly warming the oil before applying is helpful. Put 1-1 drop of cow ghee in both nostrils at night time before sleep.
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I had done ecg and echo test of heart they are normal just wanted to confirm my heart is normal.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I had done ecg and echo test of heart they are normal just wanted to confirm my heart is normal.
ECG,TMT and ECHOCARDIOGRAPHY are the preliminary investigations done on our heart to rule out any possibility of any Heart problem.If both your tests are normal and you are not feeling any suffocation on slight exertion then I am sure that your heart is normal.
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I am 61 years old have erectile dysfunction problem. I am taking medicine for BP for last so many years but have normal BP after medications. Can not perform sex. Please suggest.

BHMS
Homeopath, Faridabad
I am 61 years old have erectile dysfunction problem. I am taking medicine for BP for last so many years but have norm...
Hello. Erectile Dysfunction, as it is commonly known, refers to a man’s inability to obtain or maintain erection of the penis during sexual activity. Obesity, heart disease, smoking, tobacco use, alcohol consumption, diabetes, psychological factors like stress, anxiety and negative feelings, the use of anti-depressants — all these usually contribute a lot to Erectile Dysfunction. Homeopathic remedies provides natural cures for Erectile Dysfunction. Take Lycopodium 200, 5 drops once in a week. Take Schwabe's Damiaplant, 20 drops twice daily with water. Revert after 15 days.
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I am 71 years of age, of course, with sound physique. However, I have some respiratory problem for some time now. I feel like taking deep breath. This makes me feel uncomfortable and uneasy. Recently PFT taken. It showed slight/mild airway problem for which taken treatment for a fortnight. ECG, ECHO and other pathological test reports such as blood test, urine test etc are normal. What is the way out for coming out of this respiratory infection?

MB, BS. M.D
General Physician, Hyderabad
I am 71 years of age, of course, with sound physique. However, I have some respiratory problem for some time now. I f...
If you are running fever, feeling of not well, better to take /some antibiotic for which you have to approach a qualified practioner, if you have'nt got above symptoms, improve your resistance by taking yoga, specially breathing exercises and some good multivitamins and see for 3 to 4 days, and good diet too will help in recovery.
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I have pain on the middle of chest while there is stress or pressure on the chest like when I sleep facing my chest up and then rise up my chest there is pain on the middle of the chest.

MBBS
General Physician, Cuttack
I have pain on the middle of chest while there is stress or pressure on the chest like when I sleep facing my chest u...
1. For your age pain chest could be due to anxiety, stress, 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. Take paracetamol 500mg 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 and consult cardiologist 11. Consult me for further advice.
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My blood report shows 15% hisnophills kindly advise for this and cholesterol level is 207 mg/dl and for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My blood report shows 15% hisnophills kindly advise for this and cholesterol level is 207 mg/dl and for this.
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines
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Sir my age is 46 and my weight is around 122 kgs and I had a mild heart attack in the month of December and now again I am having a chest pain so please suggest me what treatment I should do.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
Sir my age is 46 and my weight is around 122 kgs and I had a mild heart attack in the month of December and now again...
Go for brisk walk 45 minute daily. Take 3 cup green tea daily (jasmine flavour). Have diet rich in fruits vegetable salads & multigrain aata roti avoid rice, deserts, and fried stuffed. Drink 2-3 liters water in a day.
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My age is 38, I am divorcee from last 9 yrs I m alone with my 2 kids, in tht 2 to 3 yrs I feel for sex but now a day I dont feel for tht is there any problem in my health, in future it affect on my physical and mental stress, from 3 yrs I face many problems like throth infection, fever, headche and body pain, I just done some check up about bp, diabetic pre and post lunch, urine test everything is fine but my bed cholesterol level is very high like 146 and good cloestorl level is 37 only. Please suggest me something to reduce bed cholesterol.

M.B.B.S., Diploma in Family Medicine, Fellowship in Diabetes (Liverpool), Advanced Clinical Course in Cardiology (USA), Certified Diabetologist from USA, CCEBDM, MD - Consultant Physician
General Physician, Hooghly
Do regular physical exercise, yoga, brisk walking for minimum 30 minutes at least 4 times a week. You may join dancing class or gym which will be beneficial for your health and mind too. Avoid junk foods, roadside foods, pizza, burger etc. Use minimum amount of oil to cook food. Avoid fatty foods like butter, mutton etc. Take green leafy vegetables, fruits, cucumber more. This will help you to reduce bad cholesterol. Dr. S. Modak, m. D.
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Sir, ap kaisi hooo. Mera presure 100/60. Me sarir bahat weak. Me polybion l syrup, Revital H use kar raho. Konsi medicine use karna please muje batao.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Sir, ap kaisi hooo. Mera presure 100/60. Me sarir bahat weak. Me polybion l syrup, Revital H use kar raho. Konsi medi...
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach.
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I am 69 yrs old male. During last 10 days my left leg becoming heavier, yesterday b. P was measured & found 150/80. I used to have amlopin-5mg, one tab daily after break fast. Waitng for good advice. Thanking you, with regards

MD - Consultant Physician
General Physician, Jaipur
Are you having swelling of left leg? or both the legs? please provide me with pictures. It can be a side effect of amlopin 5.
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I'm 20, male and 4 months before I was detected with hypertension my blood pressure 140/100 and now it is controlled I used to take Telma 40 but now dose is reduced now I take Telma 20. Can I get rid of meditation?

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
I'm 20, male and 4 months before I was detected with hypertension my blood pressure 140/100 and now it is controlled ...
Dear you are young. Talk to your physician to find out cause. Then we can advise you and bring it normal vm.
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