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Dr. Vanmala Singh

Cardiologist, Pune

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Dr. Vanmala Singh Cardiologist, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Vanmala Singh
Dr. Vanmala Singh is a renowned Cardiologist in Dhole Patil Road, Pune. You can visit her at Dr Sanjay Agarwal's Aegle Clinic in Dhole Patil Road, Pune. Book an appointment online with Dr. Vanmala Singh and consult privately 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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Dr Sanjay Agarwal's Aegle Clinic

#B-11, Narsimha Housing Society, 194 Boat Club Road, Dhole Patil Road. Landmark: Opp City Point, PunePune Get Directions
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I have severe back pain. And it's been paining for quite long now. The whole back and neck. It's just unbearable. And I am just 20. I tried accu pressure. And the pain was gone. Should I continue with accu pressure?

BPT ,Msc
Physiotherapist,
I have severe back pain. And it's been paining for quite long now. The whole back and neck. It's just unbearable. And...
Lybrate-user start doing physical exs or walking fr an hour every day and hv plenty of water. 3 to 4 lt.
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My pulse rate is a bit high around 90 per minute. Is this bad for my heart? Is there any risk of heart attack due to this? Do I HAVE TO CONSULT AN ELECTROPHISIOLOGIST?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My pulse rate is a bit high around 90 per minute.
Is this bad for my heart? Is there any risk of heart attack due to ...
if pulse is higher and there's no symptoms, ignore get thyroid profile done. high thyroid can lead to high pulse and only high pulse rate is not one of the factors among heart attack risks
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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.

5 people found this helpful

My Mom is around 45-50 years old and her pressure is very low *40 min.-60 max. Due to which she faint sometimes, rather than this she doesn't have any other health issues. Please tell me which medicine would be better for her? Or any kind of exercise or yoga?

PDDM, MHA, MBBS
General Physician, Nashik
When dealing with low blood pressure, it is usually suggested to increase your salt and fluid intake. Before increasing yoursalt consumption, do check with your doctor. Also, cut down on alcoholic beverages and high-carbohydrate foods such asbread, rice, pasta, and potatoes.
1 person found this helpful
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I had undergone ASD can I go to gym after how many months. Can I be normal man I how many years?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I had undergone ASD can I go to gym after how many months. Can I be normal man I how many years?
Yes do exercise but not too hard, I would suggest simple walks, observe your stamina and start swimming or gymn after few months, but only after taking permission from your doctor, normally after surgery some instructions are given.
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I have a pain around my heart area. Treatment for cholesterol is on but the pain is there.

BHMS, Certificate in Sex Education & Parenthood, PG Dip (Preventive & Promotive Healthcare), Dip in LSM (Prescribing Exercises), Dip in LSM (Metabolic Disroders & Nutrition), Dip in Occupational health & industrial hygiene., MBA (Healthcare), Certificate in Good Clinical Practice, Dip in Healthcare Quality, Core Competency In Lifestyle Medicine
Homeopath, Jamshedpur
I have a pain around my heart area. Treatment for cholesterol is on but the pain is there.
Please check with cardiologist if pain is inside chest and is worse on exertion. Sharing symptoms of chest pain for medicinal advise is not suggestive. Take care.
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My Mom is having headaches at certain intervals of time. She does have diabetes and cholesterol. The doctors say its because of her sugar levels that varies at times, but I think that is not the cause. Because she gets these headaches even after regular walks, proper medication and controlled diet.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
My Mom is having headaches at certain intervals of time. She does have diabetes and cholesterol. The doctors say its ...
You are correct .The headache may be of different cause. Get her BP cjhecked daily at home and when the headache occurs get an eye Dr. -opthalmologist consultation since diabetics are more prone for glaucoma, cataracts as well as Retinal detachment yearly eye exam with a senior Dr. is needed. If these are normal get a ENT Dr. consult. Change her diet and lifestyle If you want specific dietary and lifestyle advise for sugar and cholesterol control take a consult.
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I am 19 years old and I am facing this blood pressure problem. Anytime I feel like fainting and an awkward adrenaline rush goes in. what to do?

BHMS
Homeopath, Faridabad
I am 19 years old and I am facing this blood pressure problem. Anytime I feel like fainting and an awkward adrenaline...
Hi, Take Rauvolfia 1x, 2 tabs daily morning empty stomach. Drink plenty of liquids and cut down your fat, salt and sugar intake. go for a morning walk daily at least for 30 minutes. Take a sound sleep and try to avoid anger. Revert after 15 days with feedback.
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Hi I am 24 years old, the problem is am getting mild pain near the left side of my chest when am running or sleeping in backward position. I haven't taken any precautions can you please help me out with these. Thanks in advance.

MBBS
General Physician, Cuttack
Hi I am 24 years old, the problem is am getting mild pain near the left side of my chest when am running or sleeping ...
Chest pain causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumption. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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Suffering from dry cough from last two days and there is a pain in chest whenever I cough hard.

MBBS
General Physician, Mumbai
Suffering from dry cough from last two days and there is a pain in chest whenever I cough hard.
This can be due to irritant like tobacco , nicotine , masala or other intoxicants, so check your habits and stop intoxicants. Do gurgle with warm salt water.Please make it a point that too bitter, too sour, salty, hot, pungent, dry and burning foods are to be avoided as such foods cause distress, misery and disease. Thus deep frying foods or foods taking lot of oil as in gravy vegetables , salty foods , spicy foods , long preserved , frozen foods , junk foods like pizzas burgers chips are to be avoided. If problem does not improve within two days , then you have to ask your local doctor
1 person found this helpful
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My father has extremely high cholesterol and my mother has high blood pressure. I'm a little confused on the cholesterol issue. I know that you shouldn't eat eggs very often but when I am buying food what numbers should I be looking for in terms of fat and cholesterol.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My father has extremely high cholesterol and my mother has high blood pressure. I'm a little confused on the choleste...
DO NOT give egg to you father it harms to high cholesterol and high BP. Avoid bad habits .Avoid fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.pl. do tests for him lipid profile ,blood sugar,kft,lft.
1 person found this helpful
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Got High Blood Pressure? Eat These 5 Foods!

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
Got High Blood Pressure? Eat These 5 Foods!

Foods that help High Blood Pressure

Our lifestyles are such that low and high blood pressures are common phenomena, people in their 20s and 30s are also diagnosed with unstable blood pressure. While lifestyle could be changed to a certain extent, there are adjustments which can be done to maintain good health.
Foods that help cure high blood pressure problems are.

1. Beans - White beans have calcium, magnesium and potassium in large quantities. These are important for someone with high blood pressure. This superfood can be included in side dishes, soups as well as entrées. Ensure that there is minimal salt added.

2. Yogurt - Fat free yogurt contains calcium in extremely high quantity along with magnesium and potassium. Making this the main-ingredient of breakfast, salad dressings, entrées and sauces is an excellent idea.

3. Fish - Tilapia fish is easily available all year-round and provides a good 8% of your daily potassium and magnesium needs.

4. Potassium And Magnesium Foods - Peaches, red bell pepper, broccoli, sweet potato and bananas contain calcium, magnesium and potassium which is needed by those suffering from high blood pressure.

5. Quinoa Seeds - The newest diet sensation food, quinoa contains 4.5% of potassium, 1.5% of calcium and 15% of magnesium from your daily need.
If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
4898 people found this helpful

I am suffering from chest pain from do many days I don't know the reason can you help me please.

MBBS
General Physician, Cuttack
I am suffering from chest pain from do many days I don't know the reason can you help me please.
1. For your age pain chest could be due to anxiety, stress, depression, 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, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Take crocin advance 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, x ray chest and consult physician for advice and treatment.
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11 Signs Of Renal Hypertension You Must Know!

DM - Nephrology, DNB (Nephrology), MD, MBBS
Nephrologist, Delhi
11 Signs Of Renal Hypertension You Must Know!

High blood pressure is characterized by an increased force that the blood exerts on the blood vessels when it moves through the body. Renal hypertension is a blood pressure disorder where the arteries that carry blood to the kidneys become narrow, as a result of which the blood pressure through these vessels increases.

Causes

It is caused when the arteries that supply blood to the kidney get narrow or get blocked. This can cause the kidney to release specific hormones that signal the body to retain water and sodium. This can put additional pressure on the blood vessels which leads to increased blood pressure. It can also be caused by atherosclerosis which is characterized by hardening of the arteries. Improper development of the arteries can also lead to renal hypertension.

Symptoms

The symptoms of renal hypertension are:

  1. Feeling confused
  2. Blurred vision
  3. Regular headaches
  4. Bleeding from the nose
  5. Gradual decline in kidney function
  6. Possible long-term damage to the kidney
  7. Feeling lethargic and drowsy
  8. Loss of appetite
  9. Dryness in skin
  10. Muscle cramps
  11. Breathing difficulties

Treatments

The diagnostic procedure for this disorder consists of blood, urine, doppler ultrasound and CT angiography or MR angiography tests. Treatments for this disorder usually include medications to ease blood pressure. Preventive measures include modifications in lifestyle such as following a proper diet, limiting smoking, restricting sodium or salt in the diet and following an exercise regimen. Steps should also be taken to reduce stress. Yoga and meditation are highly beneficial to control the condition. Sometimes intervention is needed in the form of PTRA and stenting. If you wish to discuss about any specific problem, you can consult a Nephrologist.

1752 people found this helpful

Things To Know About Rheumatic Heart Disease

MBBS, PG Diploma in Clinical Cardiology
Cardiologist, Gurgaon
Things To Know About Rheumatic Heart Disease

Some people have a sore throat which they think will go away sooner rather than later. Well, while it may not seem serious, rheumatic heart disease means that it could potentially be! But, how exactly?

A sore throat usually comes about on account of bacteria affecting the region of the throat.

Sometimes what can happen is that the same bacteria can go all the way to the heart and damage the valves of it. This is very serious as the health of a person fundamentally depends on the health of his or her heart!

When a sore throat does not seem to be getting better even after about three days go by, the first thing which is to be done is to see a doctor. This is due to the fact that delays can result in the situation getting worse. As a result of this, treatment can get more complex. And who wishes to compound their own miseries, after all?

Children who are aged between five and fifteen years of age are at risk of rheumatic heart disease. Now, while it is true that children are likely to fall sick more often than adults as their immune systems may not be all that strong, a special eye is to be kept out for rheumatic heart disease. The general symptoms which a parent should look out for are a sore throat, a cough and a fever. The tough part is that these symptoms appear which a range of other conditions!

When it comes to knowing that rheumatic heart disease is what is affecting a person, a special blood test is taken and if there is a need, an ECG and some other measures confirm rheumatic heart disease. Penicillin is a wonder drug and it is used in the treatment of rheumatic heart disease, as well. It is the general form of treatment, in fact, and people with the disease are often put on a course of injections. This means that they need to have an injection every 28 days for a month so as to make sure that there is no further damage which can affect the valves of the heart. The importance of this cannot be impressed enough.

It is unfortunate that in many cases, people only discover that they have rheumatic heart disease once they reach adulthood. The valves of the heart may be leaking or significantly damaged by the time that the discovery is made. Is it not a lot better to save oneself from this sort of situation? If you wish to discuss about any specific problem, you can consult a cardiologist.

2972 people found this helpful

Dr, When I feel hungry I want to eat at that time, otherwise some disturbance in the body. Feeling of walking not properly, leg tiredness, if time going, feeling of hands are shivering. After food it become normal. My cholesterol level 237, sugar- 92 (fasting) after food it is 120. BP 140/90. Weight 67 kg, height 167 cm. Please reply.

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
Dr,
When I feel hungry I want to eat at that time, otherwise some disturbance in the body. Feeling of walking not pro...
Dear Your blood parameters are normal It seenscyou are stressed You need stress management sessions. Daily light exercises will help. Vm.
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I m suffering from high cholesterol from last three month. Total cholesterol is 235 and ldl is 176. Also problem for deficiency of vitamin b12 is 171 and vitamin d is 6.5. Please help. Felling every time weaknesses.

BHMS
Homeopath, Delhi
I m suffering from high cholesterol from last three month. Total cholesterol is 235 and ldl is 176. Also problem for ...
Hello, you can take homoeopathic medicine allium sativa q (10 drops in little water) twice day for a week and update.
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I lost my twin babies during delivery, since then after one month I am having some giddiness, feeling anxiety when hear any small bad news and some pinching like pain right side of heart. Please help me.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I lost my twin babies during delivery, since then after one month I am having some giddiness, feeling anxiety when he...
You had upset in your life & subconscious mind is still not free from the upset. Time is the only remedy. Be occupied, get it examined by physician during the episode, monitor bp. Listen to music, yoga, pranayam, good reading, god bless you. Go for councelling sos.
2 people found this helpful
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I am 29 years old unmarried. I am a regular cigarette smoker from last 8-9 yrs. From last 30-40 days I am feeling heaviness in my chest with little pain. I feel that something has been filled in my chest. I am also feeling weakness also.

MD - Psychiatry
Psychiatrist, Chennai
I am 29 years old unmarried. I am a regular cigarette smoker from last 8-9 yrs. From last 30-40 days I am feeling hea...
The smoking might be taking toll on your lungs and heart. Stop smoking and consult a physician immediately.
1 person found this helpful
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