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Dr. N. Castellino

Cardiologist, Pune

Dr. N. Castellino Cardiologist, Pune
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. N. Castellino
Dr. N. Castellino is a trusted Cardiologist in Sangamvadi, Pune. You can consult Dr. N. Castellino at Ruby Hall Clinic in Sangamvadi, Pune. Don’t wait in a queue, book an instant appointment online with Dr. N. Castellino on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 32 years of experience on Lybrate.com. You can find Cardiologists online in Pune 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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#40, Sangamvadi, Sasoon Road, Pune Railway Station. Landmark: Near pune railway Station, PunePune Get Directions
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I am a 25 year old boy, I am having pain below my chest for past two days, help me what could the reason for that and I am not surfing from acidity.

MBBS
General Physician
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I am a 25 year old boy, I am having pain below my chest for past two days, help me what could the reason for that and...
There can be a lot of reasons for pain acidity is not the only one it can be any other type of indigestion problem right from oesophagos to intestines or may be something related to lungs or heart even simple muscular pain could be there and treatment will depend upon the cause it is better
1 person found this helpful

7 Habits That Help Prevent Stroke

General Physician (AM)
Alternative Medicine Specialist
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The simplest tips from experts:

This is one of the most dangerous and, unfortunately, one of the most common diseases, which is caused by bleeding in the brain. It can be so devastating that the restoration of the person would take years. And at the same time to recover before the end he could not. Meanwhile, a few premature steps will help you prevent a stroke or at least alleviate the consequences of the incident.

Blood pressure control:

High blood pressure is a guarantee of hypertension. And that, in turn, increases the risk of stroke, as well as contributes to the development of cardiovascular disease. Often hypertension generally does not manifest itself externally (for the time), so constantly monitor blood pressure. Reduce the intake of salt, drink and coffee. Prevention may also include monitoring of weight, regular exercise, and even control over stressful situations - but then you do not need any pills to lower blood pressure.

" revision" heart:

Heart disease can occur in humans at birth and occur throughout life. For example, as a result of hypertension, obesity, diabetes or high cholesterol. There are many effective ways to diagnose and treat heart disease, but it always depends on the underlying cause, that is the same, for example, diabetes. The best way to prevent heart problems, it's not skip regular check-ups by a doctor. Then the disease can be detected at an early stage, before it starts to improve.


Lowering cholesterol:

High cholesterol promotes occurrence of cardiac and cardiovascular disease, usually the result of a diet high in harmful fats. To reduce cholesterol diet requires a moderate fat intake" nenapryazhnye" exercise and sometimes medication assistance.

That no obesity:

Obesity is also a risk factor for stroke. The fact that people with overweight elevated levels of fats in the blood, they are deposited on the vascular wall and narrows them. Over time, they get clogged and completely, and are sealed to form clots - which eventually reach the blood to the brain. And in the end - stroke.

Diabetes under control:

Diabetes - a direct path to cardiovascular disease and problems with blood vessels in the brain. The cause of diabetes is a disturbance of blood sugar, and it can also be congenital or acquired. But in any case, it requires control of food intake, weight management, and sometimes medication to maintain proper blood sugar levels.

Smoke cessation:

When smoke in humans get tar and other harmful substances, they damage the intima. In such" gaps" immediately rush substances - inflammatory factors, as well as compounds of cholesterol. Due to the unwanted build-up of plaque and blockages in the already narrowed blood vessels develop dangerous disruption of the heart and blood vessels. And after a time there is a stroke or heart attack.

Stress management:

It contributes to the development of stroke due to the fact that mental over-voltage occurs acute ischemic stroke. The result is a brain hemorrhage. Other less common causes of stroke may be, for example, autoimmune diseases and disorders of blood clotting
7 Habits That Help Prevent Stroke
74 people found this helpful

I am 44 years old female and I had kidney problem. I am using medicines since last 1 year. I am not getting no changes. Creatinine- 5.4 Urea - 102 Hb - 11.4 Hypertension - 140/80 What should I do now.

MBBS
General Physician
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I am 44 years old female and I had kidney problem. I am using medicines since last 1 year. I am not getting no change...
Your blood urea and creatinine level is very high. You may need dialysis. Consult nephrologist for advice and treatment.

I have a sugar & high BP patient from, last 20 days my Blood pressure not control so what can I do for control the BP.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I have a  sugar & high BP patient  from, last 20 days my Blood pressure not control so what  can I do for control the...
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...

Which oil is beneficial for heart patients in india and also tell us about diet chart.

MBBS
General Physician
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Which oil is beneficial for heart patients in india and also tell us about diet chart.
No oil is good for the heart use as little as possible olive oil is the oil which is the one if you have to use lots of green veggies and all fresh fruits are good go for low calorie diet reduction of body weight helps heart patients.
1 person found this helpful

Please let us know whether eggs are good even for heart patient or not ? Whether they should eat total egg or they should eat white portion and throw yellow portion of egg ? How much quantity a person can take per day or week if the age of the heart patient is 50 .

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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Please let us know whether eggs are good even for heart patient or not ?
Whether they should eat total egg or they sh...
You can have whole egg everyday. Yellow is a good source of proteins and vitamins specially b 12. Eggs do not effect the levels of cholesterol.
2 people found this helpful

My cholesterol are increasing so tell me which food I want to avoid for control and also tell me how to decrease it.

BAMS
Ayurveda
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My cholesterol are increasing so tell me which food I want to avoid for control and also tell me how to decrease it.
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.
1 person found this helpful

I have forgetting problem, weaknessand hyper tension (low bp) what can I do and duodenum ulcer what can I do.

MBBS
General Physician
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Avoid spicy food in your diet and take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

Hi, I am 28 years old female and for past 4 to 5 years my BP is too high and i am not taking any medicines also, please suggest me some remedies for the same. My BP remains always in the range of 140/110.

MD - Medicine, MBBS
Cardiologist
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This level of BP must be treated simultaneously the reason for high BP must be investigated.As high BP at this age may be due to some underlying pathology.

What is symptoms of high Bp; high sugar; high cholesterol. What do be done in emergencies. I do get fatigue sometimes if I work too much or climb stares? What is cause for it.

MD - Homeopathy
Homeopath
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What is symptoms of high Bp; high sugar; high cholesterol. What do be done in emergencies. I do get fatigue sometimes...
High BP, High sugar, High cholesterol can present with number of symptoms and sometimes remains unidentified until you fall sick. It's too difficult to mention all the symptoms but the symptoms you mentioned can be of them. The only way to diagnose them properly is to get properly examined and investigated. Like Blood pressure check up, Blood Sugar and urine sugar Fasting and Post prandial and Lipid profile. Even if they come negative you cannot exclude them as you are having some symptoms. And my advise is to start preventive homeopathic medicine by proper consultation. Till then you can start taking Tonicard Homeopathic preparation by SBL.
1 person found this helpful

Dear Sir, I am a cholesterol patient some time low some time high. I am taking daily one storvas 10 mg as prescribed by Doctor. Just I want to ask you can I use PROTINEX POWDER FOR MORE PROTEIN TAKING MORE PROTEIN DO? INCREASES CHOLESTEROL PLS. ADVICE. THANKS.

BAMS, MD Ayurveda
Ayurveda
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Dear Sir, I am a cholesterol patient some time low some time high. I am taking daily one storvas 10 mg as prescribed ...
You can go for following remedy it will help you 1. Take 1 glass water 2. Add 2 tbsp of coriander seeds 3. Boil it for 15 min 4. Strain the mixture 5. Allow it to cool 6. Drink 3 times a day Causes: • Overweight • Consuming fat-rich food like: O Pastries and cakes o Butter O Meat O Fish O Eggs • Smoking • Drinking • Stress • Hereditary factors It will surely help you.
1 person found this helpful

Sir, I am a male, aged 85. Got mild heart attack about 30 yrs back. Other wise I am quite OK. Every day, I walk for about 30 mts. (about 3 kms equivalent) My body mass is OK. I am a vegetarian, no smoking and no alcohol etc.Other wise I am having a healthy life. I usually consult a good cardiologist about 2 times in an year. My regular medicines are : Morning after breakfast : Imdur 30, Repolal, Razel-10 After noon after lunch : Aspisol-75 Night after meals : Repace H I some times once on 2 to 3 months gets pain in the chest and the position of pain varies time to time. The pain lasts for 2 to 4 hours. More or less acute in the first hour and gradually diminish. The pain may come in the morning, evening or mid night and so on. The only medicine I take is Sorbitrate - 5mg under the tongue. Some 4 to 6 tablets I consume one after the other each time. I suspect this as mild heart attack. After I become normal, I usually get an ECG which is shown to the doctor. I often told the doctor about this and he chides that a cardiologist alone can diagnosis a heart attacks. My cardiologist works in a reputable hospital around 50 kms away from my place. Once, about 8 yrs back, I got a chest pain around 10 AM. I left my place by car and by the time I could meet the cardiologist it took about 4 to 5 hours. By that time there is no chest pain at all. Still, the doctor insisted me to get admitted in the hospital. There were routine check ups, ECG etc. As my chest pain often lasts 2 to 3 hours only and it completely subsides by the time I could meet the doctor, it appears redundant for the trip besides scaring my family and children. If the chest pain occurs during the night, it may take even 6 or more hours by the time I could meet the doctor. So, I almost made up my mind not to disturb my wife and son at the chest pains and manage with the Sorbitrate - 5mg tablets and preying god. Under these circumstances, is there a better alternative ? Please suggest.

Certificate in Diabetes update, Post Graduate Diploma In Hospital Administration (PGDHA), PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , PG Dip Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Amazing! n salute for ur wining over life! ur healthy in physical n mental wellbeing! so ayurveda is for people like u who can share well n achieve better results. Detox will serve great in time for u!
1 person found this helpful

My father had a heart attack when he was pretty young. Should I be worried about having one?

MBBS
General Physician
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My father had a heart attack when he was pretty young. Should I be worried about having one?
Hi! You don't need to worry as you are seeking help already Get yourself a cardiac checkup If you are diabetic or hypertensive or smoker or alcoholic. You better hurry If your ECG+2D Echo of heart+ TMT together shows any problem in the heart then you will be well guided by a cardiologist If you have any previous checkups or health related prescriptions or reports with u please carry with u Thank u
2 people found this helpful

I am gastritis and sugar and blood pressure patients and also heart pain, heart side tight back and left hand pain suffer last 2 months. Last day I visited Dr. for Cardiologist he sugest me TMT and angiography .for further diagnosis. Is it proper. Tell me.

BHMS
Homeopath
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I am gastritis and sugar and blood pressure patients and also heart pain, heart side tight back and left hand pain su...
Exercise stress test (also called treadmill test) is an important investigation not only in patients with suspected cad but also in established cad. In the former group, it helps us to exclude cad in patients with chest pain and in the later group, it helps us to assess functional capacity, risk stratification and to detect any additional (new or residual) ischemia. Stress test being a physiological test, has a huge advantage of assessing the adequacy of myocardial blood flow without even knowing the coronary anatomy, while coronary angiogram (cag) has a zero physiological value* in spite of excellent assessment of the coronary anatomy! it is an irony, in the assessment of angina we are expected to assess the physiological adequacy of myocardial blood flow, we have kept coronary angiogram as a gold standard over and above the much neglected physiological stress test. Of course, the limitation of stress test is that, it has only 75% specificity (to rule out cad) and about 80% sensitivity (to detect cad. In simple terms stress test is likely to miss 20% times to miss a cad in patients with cad and 25% of times falsely diagnose cad in patients without cad. In the above statistics, coronary angiogram was considered gold standard. The problem with this data is that, cag is not the real gold standard, but it was nominated as a gold standard. We now know normal coronary angiogram is not equivalent to normal coronary arteries and vice versa. While both test have limitations, it is logical to believe cag has an edge over stress test since it visualises the anatomy. But, once an obstruction is demonstrated by cag, stress test scores over in assessing the physiological impact of the lesion.
3 people found this helpful

My bp is 140 - 100, what is my body levels & weight reduction.

C.S.C, D.C.H, M.B.B.S
Pediatrician
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Weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. Some tips 1) drink three or four cups of water whenever you feel hungry and just before eating food 2) take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take ? of your total as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests. For more detailed and personal advice ask me privately.
1 person found this helpful

What is the maximum value of systolic blood pressure that can be there for a hypertensive patient before it gets fatal? Age is 5o years.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda
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What is the maximum value of systolic blood pressure that can be there for a hypertensive patient before it gets fata...
Dear patient, frankly there is no maximum value which can be identified. There are lot of factors which are to be considered in case of hypertensive crisis and the underlying condition. The most important aspect is to understand the risk of a stroke due to bleed in the brain. Blood pressure is the pressure in the arteries during the cycle of contraction and relaxation of heart which is measured as systolic and diastolic pressure. The same pressure is maintained in the entire hemodynamic system. In the brain there are very small blood vessels which are susceptible for bleeding incase if this pressure increases. So it is not advisable for blood pressure systolic as well as diastolic to vary beyond a range of +/- 20 mm of hg for a particular age of patient. Please control your blood pressure by medication, salt restriction after proper consultation with a physician.
1 person found this helpful

How to increase height of owr body? How to increase weight of owr body? How we should take care of own heart?

MD(Ayu), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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How to increase height of owr body? How to increase weight of owr body?
How we should take care of own heart?
Ayurveda believes in digestion not into giving heavy food for weight gain. According to ayurveda, food which are easy to digest but nutrient can gain weight. But I need detait history for perfact solution. Like your appetite? bowel habits sleeping habits kind of your work or job life style diet etc. But till you can do following: take daal rice more. Use cow ghee n milk. Avoid over eating start massage with til oil in morning, after that, do exercise whatever you want then bath focus in yourself avoid stress anger fear take ajvayan 1 tsp after meal. Start chyavanprash in morning. These are also helps in height increase. After 20, process of increasing height becomes slow. However healthy diets will help you. Do exercise & yoga. Esp. Tadashana, suryanamaskar, chakrasahana.
1 person found this helpful

My mother is diabetic for last 5-6 years. She has uncontrollable sugar label, generally 300+. She tried with amryl2 and other medicine. Even for some time she was on insulin. Currently she has wound on feet. Test report for flesh sugar label is 10.5. She has also blockage in one part of heart due to high sugar label. Please suggest me about. What should she do for betterment.

D ( Diabetology), AFIH, DNB (F.MEDICINE), MBBS
General Physician
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My mother is diabetic for last 5-6 years. She has uncontrollable sugar  label, generally 300+. She tried with amryl2 ...
Please start her on insulin, before worsening of wound, also start antibiotics if wound have infected.
1 person found this helpful

I am taking ramistar 0.25 mg for the past 2 years. My BP was as low as 95/65 (after consuming alcohol). During day time it raises up to 150/90. Please guide me.

C.S.C, D.C.H, M.B.B.S
General Physician
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I am taking ramistar 0.25 mg for the past 2 years. My BP was as low as 95/65 (after consuming alcohol). During day ti...
If the BP is low only when you take alcohol you avoid alcohol and as it is normal at other times noting need to be done
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