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Dr. Sachava

Cardiologist, Pune

500 at clinic
Dr. Sachava Cardiologist, Pune
500 at clinic
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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.
More about Dr. Sachava
Dr. Sachava is a trusted Cardiologist in central Panchgani, Pune. Doctor is currently associated with Rao Nursing Home,Bibvewadi in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Sachava on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 29 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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Rao Nursing Home,Bibvewadi

#672 5B Ayodhya Complex, Swami Vivekanand Marg, Bibvewadi,Landmark: Opp Canara Bank, PunePune Get Directions
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I have hyperlipidemia without any reason as I have no family history nor I eat oily, spicy. What is the reason behind it and what is the treatment?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have hyperlipidemia without any reason as I have no family history nor I eat oily, spicy. What is the reason behind...
Hello dear High 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, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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I want to reduce my weight, I almost eat heavy, soft food always raise my hunger, I drink plenty of water, I am also effected with high blood pressure, please suggest me.

MSc
Dietitian/Nutritionist, Chandigarh
I want to reduce my weight, I almost eat heavy, soft food always raise my hunger, I drink plenty of water, I am also ...
Hello lybrate user we are giving you some important tips to follow up, 1. Drink water, especially before meals. 2. Eat high proteins in breakfast 3. Drink green tea at least twice a day. 4. Eat less refined carbs. Its helps to reduce weight and do not gain extra weight.
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Heart Attack .. ? Must read this !

MD-Physician, PGDCC
Cardiologist, Jaipur
Heart Attack .. ? Must read this !
Most important thing to remember-

Never waste time for a possible heart attack patient.

Admit only to a hospital which has cardiac angiography or plasty felicities.
Every minute is crucial.
It saves a lot of time, and can save his/her life.
If not available, admit only under a cardiac physician or to a hospital having
Emergency/indoor facilities.

I am 44 years old I suffered with blood pressure that is 160/90 know I checked it was normal when I checked it in 21-7-15 it was like above know it is normal shall I use medications or shall I stop using those.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 44 years old I suffered with blood pressure that is 160/90 know I checked it was normal when I checked it in 21-...
B. P. 160/90 is high. Avoid stress. Avoid salty meal, avoid oily meal. Do checkup lipid profile, blood sugar random. Ecg. You should start medicines for control it. Take whole grain foods. Do walk in morning. Yoga and meditation.
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Whenever I eat all foods and beverages like fruits drinking water or take breakfast lunch & dinner I feel pain in my chest in the right side what is this? How to get rid from this?

MBBS
General Physician, Mumbai
Whenever I eat all foods and beverages like fruits drinking water or take breakfast lunch & dinner I feel pain in my ...
Dear Lybrateuser, -Your pain chest is due to acidity -avoid spicy, fried & junk food, also restrict tea/coffee intake to 1-2 cups a day -do not skip meals, have meals on time, have 4-5 small meals including snacks instead of three large meals ,have more of fruits & vegetables including green leafy ones, chew your food well, have dinner 2-3 hrs before going to bed, do not lye down immediately after meals -take Syrup Gelusil, 2 teaspoonful half an after each meal -have 8-10 glasses of water for proper digestion -do regular exercises & yoga for 10-15 min per day -if not much relief then consult a doctor.
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My brother is suffering with idiopathic DILATED cardiomyopathy. His lv ejection fraction is 30% Last week he started taking medicines. Is there any permanent cure for this disease Is there any advanced treatment. Available for it.

CCH, CGO, CVD, BHMS
Homeopath, Mumbai
My brother is suffering with idiopathic DILATED cardiomyopathy. His lv ejection fraction is 30%
Last week he started ...
Go ahaed with allopathic management. Only preventive management only no complete cure. Drink less water approx 1-1.5 lit / day.
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My wife 42 F, having polycystic kidneys . Using B.P tablets for controlling B.P. She has operated for gall bladder stone. Also removed uterus 6 years before due to heavy bleeding . Now she feels weakness, sleep less, stain. After consulting cardiologist, using medicine for high heart beat .

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
My wife 42 F, having polycystic kidneys . Using B.P tablets for controlling B.P. She has operated for gall bladder st...
Thank you for the query autosomal dominant polycyclic kidney disease, presents very commonly with 3 features - hematuria (blood in urine), pain in the loins (due to increasing kidney size) and hypertension. Often fever may occur due to infection of the cysts. Please get a serum urea and creatinine done to check the kidney status and a urine for routine examination. Ultrasonography may be done once a year at least to check the progression of the disease. You need to consult a nephrologist for further advise. Continue with her cardiac medications and get her bp checked at regular intervals. Regards
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Hi doctor, I'm having 180 ml whisky & I quit smoking nearly 2 1/2 year before is there any chance of heart problems & im taking aten 25 in the morning.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi doctor, I'm having 180 ml whisky & I quit smoking nearly 2 1/2 year before is there any chance of heart problems &...
Dear, There are many reasons for heart problems and alcohol is one among them. Quit alcohol for better management.
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I have a acidity and gas is stay on my chest and my chest is paining so what can I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have a acidity and gas is stay on my chest and my chest is paining so what can I do.
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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Sir. I hve a problem if nervous. At a normal time I am jst normal. But at any serious or front of many people. I feel jst loos. Heartbeat nd nervbeat increased. please suggest wt to do?

Masters in Clinical Psychology
Psychologist, Lucknow
Sir.
I hve a problem if nervous. At a normal time I am jst normal. But at any serious or front of many people. I feel...
Hi lybrate-user, Practice jacobs progressive muscle relaxation: This progressive muscle relaxation script relaxes your body and your mind. This relaxation technique starts by tensing one muscle group for five to 10 seconds. Then the same muscle group is relaxed letting the muscle go limp for 15-20 seconds. When I use this progressive muscle relaxation script with clients I find that this relaxation technique creates a deep sense of physical relaxation. Find a quiet place that is comfortable for you. Practice at a regular time during the day. Preferably not after you have eaten Find a comfortable position. If you are sitting, then keep your back straight and feet flat on the floor. If lying down (the preferred option as your body is supported by the floor) then you can put a pillow beneath your knees for extra support. Adopt a passive attitude to PMR. When tensing muscles (without straining), do so for roughly 5 seconds. When you relax your muscles do so for roughly 15-20 seconds before progressing to the next muscle group. Tense each muscle group once before progressing. Progressive muscle relaxation script Start out with a few relaxing breaths. Use the diaphragmatic breath, and as you exhale feel the tension begin to ebb away. Clench your fists. Move your awareness to your hands. Clench both of your fists for up to 5 seconds. Release for 15-20 seconds, imagining the tension ebbing out of your hands. Tighten your biceps. Move your attention to your arms. Draw your forearms toward your shoulders, creating a bicep. Hold for up to 5 seconds and then release for 15-20 seconds. As you release and imagine the tension flowing out of your biceps. Forehead and scalp. Move your attention to your forehead. As you inhale lift your eyebrows and wrinkle your forehead. Hold for up to 5 seconds and then release for 15-20 seconds. As you release, feel the relaxation of the muscles of the forehead. Facial muscles. Move your attention to your facial muscles. Furrow your eyebrows and purse your lips. Try to pull all of your facial muscles towards your nose. Hold for up to 5 seconds and then release for 15-20 seconds. As you release feel the relaxation of the facial muscles. Jaw. Bring your attention to your jaw. Clench your jaw tightly, feeling the tension in the surrounding muscles. Hold for up to 5 seconds and then release for 15-20 seconds. Relax the muscles and allow the tension to disappear. You may feel your mouth begin to open a little. Neck and shoulders. Now bring your awareness this region. Shrug your shoulders towards your ears. Feel the tension in the surrounding muscles. Hold for up to 5 seconds and then release for 15-20 seconds. Feel the tension in the muscles ebb away. Upper back/shoulders. Now bring your awareness between the shoulder blades. Push your shoulder blades back as if you were trying to get them to touch. Feel the tension in the surrounding muscles. Hold for up to 5 seconds and then release for 15-20 seconds. Feel the tension in between the shoulder blades ebb away. Upper chest. Now bring your awareness to your upper chest. Tighten the chest muscles and hold. Feel the tension in the upper chest muscles. Hold for up to 5 seconds and then release for 15-20 seconds. Feel the tension in the chest muscles flow away. Stomach. Now bring your awareness to your navel area. Try to draw your navel in to your backbone. Feel your stomach muscles tighten. Hold for up to 5 seconds and then release for 15-20 seconds. Feel the tension in the abdominal muscles dissipate. Buttocks. Now bring your awareness to your buttocks area. Squeeze your buttocks together, consciously tightening the muscles in this region. Hold, hold hold…and now release for 15-20 seconds. Feel the tension in these muscles disappear. Thighs. Now bring your awareness to your thigh muscles. Try not to contract your stomach muscles as you consciously tighten your upper thigh muscles. Hold, hold hold…and now release for 15-20 seconds. Feel the tension in the thigh muscles dissipate. Calves. Now bring your focus to your calf muscles. Consciously tighten your calf muscles by pointing your toes. Hold, hold hold…and now release for 15-20 seconds. Feel the tension in the calf muscles flow away. Feet. Now bring your focus of attention to your feet. Tighten your feet by curling your toes toward the ground. Hold, hold and hold some more…and now release for 15-20 seconds. Feel the tension in the feet flow away. Mentally scan your body for any residual tension. If you find a muscle group with residual tension then tense and relax this area again. Feel a wave of relaxation, from the top of your head to the tip of your toes. When you are ready bring your awareness back to your breath and slowly open your eyes. This entire progressive muscle relaxation sequence should take you 15-25 minutes.
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My father had a heart attack when he was preety young. Should I be worried abt having one.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
My father had a heart attack when he was preety young. Should I be worried abt having one.
Dear lybrate-user, ischemic heart disease can run in families due to a condition called as dysfunctional endothelium which has a genetic origin. Although you are too young to worry about it but please do not neglect cardiac symptom. Ensure you do not have too much fatty food. Every year get a lipid profile and blood sugar level done. Parallel if you start a good cardio schedule it will help develop collateral circulation in your heart vessels which will also benefit you and protect you from an infarct situation.
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I am 34 years old and am 65kg by weight. I am a teacher. My problem is that I have a slight pain in left side of my chest. Its not pain always its something like feeling weighty on this side. Need advice?

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
First thing u need to do is an ecg. Chest pain may be due to heart problems, lungs problems, anxiety etc. U may upload the ecg strip and send me private message. I will get back to u.
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Hello sir, Please tell me what is the first general treatment of low blood pressure?

MB, BS. M.D
General Physician, Hyderabad
There is no such condition in normal healthy individual. It is result of aftet suferring from some symptoms such as severe vomiting, shock resulting from other sufering like heart attack. There are no particular symptoms in healthy individual with low blopd pressure.
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Sir/mam I have pcos with diabetes 2 Dr. advice me to take medication mychrochill folic acid dronis 30 for pcos and glycomet for sugar control and pcos for 3 month one month complete now my sugar level normal but I have light vaginal spot I suspected this side effects due to dronis 30 is this any problem can I get pregnant during this problem.

Mbbs,, MS OBGY
Gynaecologist, Pune
Sir/mam I have pcos with diabetes 2 Dr. advice me to take medication mychrochill folic acid dronis 30 for pcos and gl...
As you are on dronis. This will supress your hormones. Don't miss the dose otherwise spotting happens. You will not become pregnant till you are on dronis once proper supression achieves you can try for pregnancy under your doctors advise.
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I m 16 years girl From last week there in pain in my chest. It pains suddenly n an stops automatically after a long time and in mean while my left shoulder also has a mild pain. Does I have any heart disease?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I m 16 years girl From last week there in pain in my chest. It pains suddenly n an stops automatically after a long t...
At 16 , pain in shoulders and heart area Need not be due to heart only, there can be local causes or general weakness and anemia.
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Doctor, even underweight person can get heart attack? When the person takes chronic Anxiety which increases stress hormones in body.

MBBS
General Physician, Mumbai
Doctor, even underweight person can get heart attack? When the person takes chronic Anxiety which increases stress ho...
Dear lybrateuser, - Yes, any person who undergoes chronic stress & anxiety is prone to heart disease & a heart attack - also an unhealthy diet with more of fried, fatty, processed, junk food with sedentary habits is prone to heart attack, also drinking excess alcohol & tobacco contribute in a major way - have more of fruits & vegetables, less of fats & processed foods & do regular exercise , sleep well for 7-8 hrs in the night to keep your heart healthy.
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I had a bypassed surgery 3, 5 yrs back. At present I have cyclic pain @ my ancle where a cut to remove artery to do bypass.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine ruta graveolens q (dr. Reckeweg) 10 drops in 20 ml fresh water 3 times daily for 1 month and then report.
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Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

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What are the symptoms for a heart attack? I have constant pain in my heart since a week. Please help.

MBBS
General Physician, Cuttack
What are the symptoms for a heart attack? I have constant pain in my heart since a week. Please help.
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 for your age,It could be due to anxiety and stress. Avoid anxiety. Take one tablet of crocin 500mg sos, one tablet of rantac 150mg twice daily before food, drink plenty of water and take rest. If you have recurrent chest pain, take ECG after consulting Doctor
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I have a stomach problems like acidity, low blood pressure, headache too. What should I do to come out with this problem?

BHMS
Homeopath, Amritsar
I have a stomach problems like acidity, low blood pressure, headache too. What should I do to come out with this prob...
Take lass anta acid 2-2-2 tea spoon thrice a day before meal and lasa liver tonic 2-2-2 tea spoon t. D. D after meal. Take best suppliment lasa spiruline 1-1 tablet twice daily
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