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Dr. Balachandran Nair

Cardiologist, Trivandrum

250 at clinic
Dr. Balachandran Nair Cardiologist, Trivandrum
250 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. Balachandran Nair
Dr. Balachandran Nair is a trusted Cardiologist in Anayara, Trivandrum. You can visit him at Ananthapuri Hospitalnull in Anayara, Trivandrum. Don’t wait in a queue, book an instant appointment online with Dr. Balachandran Nair on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 28 years of experience on Lybrate.com. You can find Cardiologists online in Trivandrum 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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I have been taking Roseday 20 for last 6 years. Problem is that both my HDL as well as LDL is down. HDL 35 LDL 65. How do I increase my HDL ?Please tell.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have been taking Roseday 20 for last 6 years. Problem is that both my HDL as well as LDL is down. HDL 35 LDL 65. Ho...
rosuvastatin is given in case of high ldl and low hdl...if it is not increasing your hdl then you can go for ayurvedic options also..start taking olive oil..whole grains etc...and you can also take dalcheeni powder early morning empty stomach
1 person found this helpful
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Hii. My husband's age is 30 year. He has a hypercholesteromia. His cholesterol level is 280. What precautions we need in our diet? is he need any medicine or change in diet or routine?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A therapeutic diet in itself can solve many of your problems. Dietary therapy prescribed by a registered dietitian is needed. You need to provide me daily food intake example. There are many lifestyle and dietary guidelines that can be followed. Eat a balanced diet as prescribed by a registered dietitian, I being a registered dietitian and doctor have been successfully helping patients achieve their optimum weight goals and help in several diseases. The best diet is one which is healthy and well balanced with foods from all the food groups, and one which is varied and that you can stick to I being a registered dietitian strongly accommodate the patients own preferences without the patient feeling that they are on a diet not compromising the weight management goals. I will also prescribe medicines that will speed up the time to achieve your weight management goals and help heal many of your lifestyle diseases. Check my tips on lybrate to see more details on healthy diet for your problems. I will need to carry out detailed assessment in your case, after assessing your personal challenges to weight management, I will recommend a strategy to gradually change habits and attitudes that have sabotaged your past efforts. Reply back for private consultation for a holistic dietary therapy which includes diet, simple workouts and few medications.
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I need to protect the my heart and brain from stroke. What have to do? Can you suggest medicine for that? Medication after starting is nonsense according to me. So please suggest. No sugar no pressure no cholesterol.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I need to protect the my heart and brain from stroke. What have to do? Can you suggest medicine for that? Medication ...
The causes for stroke and heart attack are same- bp, high sugar & cholesterol, smoke & pollution, bad fats, no exercise, stress and erratic lifestyle. Good to know that sugar and cholesterol are normal, get total lipid profile done as we need good fats also which are given by a spoon of desighee/ butter+ assorted nuts. Go for walks. Get ecg & halter test done, you can take a tablet of metprolol in low doses 25 mg /day in mornings, though it is medicine for high bp, but it protects the heart and brain from getting stroke. So no harm in taking this along with some vitamin supplements.
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Hi, I'm suffering from hypertension from 1 & 1/2 years i'm in medication period how can control my BP please tell to me.

BAMS
Ayurveda, Ambala
Hi, I'm suffering from hypertension from 1 & 1/2 years i'm in medication period how can control my BP please tell to me.
To control & maintain Blood pressure to normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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Which type of Angioplasty system is better making hole in Radial /wrist access or in right upper thigh/ femoral access in view of a heart patient aged 65 years or please intimate the benefit/harm, Radial versus Femoral Access for Coronary Intervention.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Which type of Angioplasty system is better making hole in Radial /wrist access or in right upper thigh/ femoral acces...
Radial requires skill and is less traumatic compared to femoral which too requires skill but it has been there for a lot more years, the side effects of femoral are 1) bleeding through a malor vessel, there fore the leg has to be kept at a higher level with head side low for at least 6 hours & post procedure care takes longer to heal though in both the vessels it is just a puncture caused by a thick needle to inject dye to reach the heart vessels. If one is sure about the cardiologist (some places do give exagerrated opinions about their doctors on call) get it through radial. Regarding other conditions like constipation, make sure that the system is clean & person takes adequate semisoild food as nourishment, no ga is reguired but there is slight risk of vomiting due to pain reflex.
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How to reduce ldl & vldl from blood and what is the cause of these bad cholesterols.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to reduce ldl & vldl from blood and what is the cause of these bad cholesterols.?
High cholesterol is a major risk factor for coronary heart disease, a cause of heart attacks, and reducing blood lipid levels lowers the cardiovascular risk.4 High levels of LDL lead to a build-up of cholesterol in the arteries, whereas HDL carries cholesterol to the liver for removal from the body.2 A build-up of cholesterol is part of the process that narrows arteries, called atherosclerosis, in which plaques form and cause restriction of blood flow.2 High cholesterol levels are a result of modifiable and non-modifiable risk factors. Two major risk factors, diet and exercise, are highly modifiable, meaning that something can be done to change these risk factors and reduce the likelihood of having high cholesterol.2 Limiting intake of fat in the diet helps manage cholesterol levels. In particular, it is helpful to limit foods that contain:2 Food sources of cholesterol Meat, cheese and egg yolks are sources of cholesterol. Cholesterol (from animal foods, such as egg yolks, meat and cheese) Saturated fat (found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods) Trans fat (found in some fried and processed foods). Being overweight or obese can also lead to higher blood LDL levels, with regular exercise helpful in managing this risk factor.2 The primary causes of high cholesterol are genetic - very high LDL levels are found in the inherited condition familial hypercholesterolemia.5 Abnormal cholesterol levels may also be secondary to the following:5,6 Diabetes Liver or kidney disease Polycystic ovary syndrome Pregnancy and other conditions that increase levels of female hormones Underactive thyroid gland. Drugs that increase LDL cholesterol and decrease HDL cholesterol (progestins, anabolic steroids and corticosteroids).
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Heart healthy food

Cut processed food consumption to a minimum and increase that of freshly cooked food. Reduce salt intake as much as possible. Increase the percentage of fruits and vegetables in your diet. Chold back on binge eating and king sized portions explore low fat low calorie options switch to skimmed milk and make fried snacks a rare indulgence
25 people found this helpful

I used to smoke. But now am having chest pain. What should I do to recover it faster?

MBBS
General Physician, Cuttack
I used to smoke. But now am having chest pain. What should I do to recover it faster?
Chest pain at your age could be due to stress and anxiety.Avoid stress.Go for regular exercise,play some games. Take bland diet,avoid spicy and junk food,drink plenty of water.Have sound sleep in the night for 7-8hours daily. Sometimes chest pain could be due to myalgia.Take one tablet of paracetamol500mg sos after food.If you have recurrent attack of chest pain then take ECG and Consult doctor
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What's the relation between heart beat rate and blood pressure like if the heart beat is some no how can we relate it to a blood pressure in number.

Certificate in Laparoscopic and Thoracoscopic Surgery, Fellowship in Paediatric cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist, Calicut
What's the relation between heart beat rate and blood pressure like if the heart beat is some no how can we relate it...
They are related but depending on the needs of the body. we can not correlate the tow by direct number. for example it is like comparing 12 Volt battery and 240 V DC current running a motor. The same motor wit different work load will run at different RPM, right? so each has to be measured separately. hope you understand.
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I hav high bp 166/110. How can I control ma bp. M taking stamlo 5. By medical practitioner advice. please suggest. Ma fasting sugar 88mg/dl.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I hav high bp 166/110. How can I control ma bp. M taking stamlo 5. By medical practitioner advice. please suggest. Ma...
Mr Pritam, At 27 years you have very severe hypertension and it has to be controlled rapidly. The dose of Amlodepine 5 mg, is very low and there may be a need for additional drugs. About fasting blood sugar level of 88 mg, it is absolutely normal. There is no need to worry about that. But you BP needs to be better controlled. It will be better if you come in a private conversation where I can give specific suggestions and even prescription. In this communication we are supposed to give only general guide lines like to control BP you have to reduce daily salt intake to 2.3 g, avoid smoking and alcohol. Practice yogasanas etc.
3 people found this helpful
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I'm fed up with life and life is not worth living for me. There is a lack of happiness lack of confidence and lack of concentration. There is no hope no enlightenment no dream no aim in life. I'm very much disinterested disheartened and depressed. I'm under a lot of stress and anxiety. I'm sailing in a boat without the sailor in the stormy sea. I'm just like the kite which strings are cutoff. I'm not living life but just passing it. I'm worthy of nothing. I'm feeling lonely in the midst of the crowd. I'm skipping my drugs for the high blood pressure. My blood pressure shoots up to 200/130 without any symptoms. I pass nights together without sleep. I have cutoff myself from my inner and outer self. I'm unable to cope up with life. If it's physical crisis I can deal with it, but as far as the emotional and moral crisis are concerned I'm just unable to deal with it.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
I'm fed up with life and life is not worth living for me. There is a lack of happiness lack of confidence and lack of...
Dear friend, I feel strongly for you. I wish I could be close to you say what I am going to tell you right now. If I try to understand how you might be feeling I feel suffocated. I am sure you are not only feeling lonely and suffocated but you are also feeling hopelessness. I do hope that you understand that what you are feeling in not only psychological. It has some strong physiology working behind it. You have some chemical imbalance in your body. That is what is creating this emotional tornado in our mind. I know with proper care and actions you will be able to once again enjoy your life and will also be able to contribute positively to make this world a better place. I am asking you to please take help from either a counselor or a psychologist. If need to consult a psychiatric and start medication. I will be more than happy to help you come out of this dark tunnel and lead a beautiful life ahead. You need to seek help and consult someone as soon as possible. I am also giving you some tips below which you can try, one thing at a time, one day at a time. I love you and I want you to take charge of your life. You may not know but you are here for a reason. What ever it is that is hurting you will go away the moment you start taking charge. As a human being you deserve the best. You deserve love and respect from people around you and love and respect begins with self. Look at yourself in the mirror and love that lady for who she is. You have endless potential within you. You could be whatever you decide you want to be. Have faith and let it go. Try following things and it will help you one day at a time. Stress has become part of our daily life now. Due to being in this chronic stress there is lot of negative energy and thinking as well as behavior processes are triggered. The good news is that our mind could be wired to switch back to positive things and resilience building. When things does not happen as we wish or people do not behave as we expect that is when out of disappointment, frustration, loneliness, anger, sadness. Etc we react and our mind starts thinking negative thoughts. Changing this pattern of responding to stressful situation requires both persistence and patience. Also you will only be able to work on this out of love and kindness towards you. Strong motivation will go a long way. Writing a statement about how would you want to respond in a similar situation and how will your life and your happiness will change if you do learn to manage your stress and how to respond to it. Once that is clear. Try following things to learn relaxation response which leads to better coping mechanism on a daily basis. To begin with doing guided progressive muscular relaxation before sleeping will help you relax. You could google and download an audio file. I would also suggest you to take a multiple small break to take 3 nice and deep breath while keeping your eyes closed. You could do this while sitting or standing or while even walking or climbing stairs (keep your eyes open in that case). When you take a nice and deep break there is actual physiological change in your body. This will help you to activate parasympathetic nervous system which promotes relaxation and helps you calm down and think more clearly. This will also actually improve your performance in your work. Along with this exercise is one of the best way to relive stress and stay fit. Engage in any kind of physical activity at least 4 times a week. This also helps in stress reduction. Along with this some relaxation exercises as well as engaging in joyful activities such as music, singing, dancing, reading, being in nature, gardening, talking with friends or anything which you enjoy will help reducing stress and rejuvenation of your mind and body. Have good routine for sleep and eating. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white floor in your diet as much as you could. Along with this also increase consumption of raw vegetables in the form of salad in both the meals of your day.
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Heart Ablation - Things We All Must Know!

DM Cardiology
Cardiologist, Delhi
Heart Ablation - Things We All Must Know!

Heart ablation or cardiac ablation is a procedure done to treat irregular heartbeats or arrhythmias. It is performed by an interventional cardiologist, a doctor who specialises in doing procedures for heart problems and it involves threading long wires called catheters through a blood vessel into your heart. The irregular heartbeat is treated by delivering an electrical pulse using electrodes to specific areas of your heart.

Arrhythmias
A normal heart beats at a steady rate, but sometimes, your heart may beat too quickly, too slowly, or unevenly. These heart rhythm problems are called arrhythmias and one of the treatments for this heart problem is cardiac ablation. Other treatment modalities are medications and changes in lifestyle. Heart ablation is prescribed when the other treatments fail. Arrhythmias mostly happen in older people and in people who suffer from other heart problems like cardiomyopathy.

Here are answers to most frequently asked questions related to ablation

Who will benefit from heart ablation?
The beneficiaries include people who

  • Suffer from arrhythmias that don’t respond to medicines
  • Suffer from side effects from arrhythmia medicines
  • Suffer from a specific kind of arrhythmia that respond very well to cardiac ablation
  • Are at a high risk for cardiac arrest or other complications which can be fatal

Cardiac ablation is very helpful for patients who have certain kinds of arrhythmias like atrial fibrillation and ventricular tachycardia, which cause fast heartbeats.

How to prepare for cardiac ablation?
You will have to undergo extensive tests to record your heart’s electrical activity and rhythm. Your doctor will ask and record whether you have any other disease like high BP and diabetes.
If you are a woman and pregnant, you must not get this procedure done as it involves radiation. You will not be allowed to eat or drink anything after midnight, the night before the procedure.

How is heart ablation done?

Heart ablations are done in a special room known as an electrophysiology laboratory. It usually takes three to six hours and is usually done under general anaesthesia or local anaesthesia with sedation.
The catheters are threaded either from your neck, groyne or arm into your heart. Your cardiologist also injects a special contrast dye to help him see areas of abnormal muscle in your heart. He then uses a catheter with an electrode at the tip to give radiofrequency energy to the weak heart muscle to correct your irregular heartbeat.
You may have to stay overnight after the procedure.

Risks associated

  1. Bleeding
  2. Blood clots
  3. Damage to heart valves or arteries
  4. The build-up of fluid around your heart
  5. Heart attack
  6. Infection

Inflammation of sac surrounding your heart or pericarditis You will have to be monitored regularly after ablation to check for problems in your heart beats.

10 people found this helpful

sir my heart valve are loose so what i do nd what are the problem face nd when male 22 years

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Sir,My heart valve are loose, so what i do and what are the problem I face and when I am male 22 years.
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Getting a uneasy feeling near chest and solar plexus and popping sensation in the ears. Please advise.

DM Cardiology
Cardiologist, Delhi
Uneasy feeling near chest, could be due to arrhythmia. I would advise you to get an ecg and and echo done, and tell me the reports. Dr. Nishith chandra, md, dm, fscai, director interventional cardiology, fortis escorts heart institute, new delhi.
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The patient is having acute pain near heart, he has a busy schedule and generally gets stressed, so is it normal or something serious that should be get diagnosed completely? Please help I am worried about him.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
The patient is having acute pain near heart, he has a busy schedule and generally gets stressed, so is it normal or s...
This is called panic attacks. It comes from psychological stress also. We cannot define it is psychological or physical. Better to check with cardiologist. In the tests everything normal. Then it is psychological problem. Better to reduce the stress in job condition. Better to avoid the busy schedule. Observe some days. After taking precautions chest pain come then consult cardiologist. Excessive stress may cause so many problems. Better to follow the stress management techniques. Relax most of the time. Feel comfortable in job environment. Think and feel always in a positive manner. Better to share all the feelings with your close friends and family members. After work relax most of the time. Take any new food items. Spend most of the time with friends and family members. Practise yoga and meditation. Develop smile nature in office environment. Start work in a positive manner. Maintain better friendly relations in office environment. Do not sit alone. Be happy all the time. Best of luck.
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I m diabetic with family history, measured on 29-12-15 PP 195 fasting 110, Hba1c 6.9, Age 58, male, normal thirst, normal appetite, normal urination, decreased sexual desire, erections not longer, sleep only for 5 hours, Blood pressure on 29thDec 15 was 130/90, normal weight, slim structure,

M.D. Internal Medicine
Endocrinologist, Mumbai
I m diabetic with family history, measured on 29-12-15 PP 195 fasting 110, Hba1c 6.9, Age 58, male, normal thirst, no...
You are confirmed diabetic patient as your hba1c is more than 6.4% you can start with life style modification and regular exercise for 45 minutes. Regarding your sleep and erection problems -they may or may not be related to diabetes. Most likely to be familial, financial or job/business related stress. You may need specific investigations for same like complete body check up.
6 people found this helpful
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