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Dr. Amit Tak

MBBS, M.D

Psychiatrist, Aurangabad

10 Years Experience  ·  300 at clinic
Dr. Amit Tak MBBS, M.D Psychiatrist, Aurangabad
10 Years Experience  ·  300 at clinic  ·  ₹ online
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Personal Statement

To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Amit Tak
Dr. Amit Tak is a trusted Psychiatrist in Nashik Highway, Aurangabad. He has helped numerous patients in his 10 years of experience as a Psychiatrist. He has done MBBS, M.D. You can consult Dr. Amit Tak at Family care clinic in Nashik Highway, Aurangabad. Book an appointment online with Dr. Amit Tak on Lybrate.com.

Lybrate.com has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 41 years of experience on Lybrate.com. You can find Psychiatrists online in Aurangabad 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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Education
MBBS - Maharashtra University of Health Sciences - 2006
M.D - Maharashtra University of Health Sciences - 2010
Languages spoken
English
Hindi

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Banjara chowk, Near amarprit hotel, chalna road, phokartpudaAurangabad Get Directions
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Near cosmos bank, near sharad hotel,Tv centre areaAurangabad Get Directions
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I am working in my own shop and I smoke daily 9-10 cigarettes and I want to quiet smoking asap.

MD - General Medicine
General Physician
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You should take nicotine chewable gums or tablets when ever you need to smoke. Over few weeks you will be able to quit smoking.

Drinking is bad for health but after drinks alcohol and after 1 hours can we have milk aur curd it's good for health.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist
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Drinking is bad for health but after drinks alcohol and after 1 hours can we have milk aur curd it's good for health.
Hye. Thank you for the query. Ideally after having alcohol you need to take a good meal of complex carbohydrates fiber proteins etc. Staying empty stomach or just having curd or milk is not the right choice. You cannot negate the bad effects of alcohol by trying to take a supposedly healthy food.
3 people found this helpful

I had stressed 2 months back and there was back pain ,stiffness in the shoulder. Although the problem is imaginative one rather than actual and 90 p.c. Not going to happen and I am also not afraid of now but tha backpain and stiffness is still persisting. Is there any solution.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I had stressed 2 months back and there was back pain ,stiffness in the shoulder. Although the problem is imaginative ...
Hi Apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. Take pranacharya vatari syrup and capsule twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.

All About Parkison's Disease

MBBS, Master In Health Science
Neurologist
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* Should I be afraid of talking to the doctor?
No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

* Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.


* What are the common tests used to diagnose brain diseases?
The three tests most commonly used are:
Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
1. Mri (magnetic resonance imaging) scan:
An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.


2. Ct (computerized tomography) scan:
The ct scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

Ct scan has a few advantages over mri:
(i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
(ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

Unfortunately, ct scanning has some significant disadvantages:
- the picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

- ct-scan exposes your body to radiation.
Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

(iii) Eeg (electro-encephalo-graphy):
Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.


1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.


2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.


3. What causes parkinson's disease?
Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.


4. Ok so what are other symptoms of parkinson's?
You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
- Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
- They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
- They have difficulty turning around when they are walking.
- Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
- In later stages, they can fall frequently.
- Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.


5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease.

Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.


6. How can you be sure that I have parkinson's disease?
A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.


7. So isn't there a test for parkinson's disease?
Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and
Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.


8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
you are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.



9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. Th ese medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.


10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.


11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.


12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.


13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.


14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
Example of this earlier: entacapone can prolong the eff ect of levodopa.


15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.


16. Well. How is this surgery done?
This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.


17. I see. Doctor, does dbs cure all symptoms of parkinson's disease?
No. Dbs surgery improves only those symptoms which improve after levodopa. Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs. 2. Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

Significant, but non-dramatic, improvement in many patients.

Two problems can become worse after dbs:
(i) severe psychiatric problems such as severe depression and hallucinations and
(ii) severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.


180. Okay doctor, what are the risks of this surgery?
Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
- The risk of death is less than 1%
- Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
- A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lt 2%).


190. Can the doctor guarantee a signifi cant benefi t after dbs surgery?
No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here:
https://static.lybrate.com/imgs/ps/cl/8b479eb55d75e060499901855481ea38/ebooks/NPE_BKL_002_Parkinson_COLOR_V05.pdf
All About Parkison's Disease
2 people found this helpful

I am facing unwanted thoughts, bad thoughts about God, unwanted sexual imaginations and I mostly look myself in mirror. See myself in mind all time. I can not stop it doing. Do not know how to make friends talk to them. And I spend more time on Computer playing games and on Internet. I'm good at Studies. Can not feel i'm sleeping at night.

DNB Ophtalmology, MBBS
Ophthalmologist
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I am facing unwanted thoughts, bad thoughts about God, unwanted sexual imaginations and I mostly look myself in mirro...
You are in your teenage now, its the hormones. Stop using laptop altogether and concentrate on your studies.
1 person found this helpful

I am feeling really sad about my education, I could not get good marks till now and i have boards now next month. I am feeling holeless and i cannot concentrate on studies. Please suggest ?

Post Graduate Diploma In Rehabilitation Psychology, M A Clinical Psychology
Psychologist
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Hi Kartik You must be under a lot of pressure since you are expecting boards next month. You shall start organizing yourself. Categorize topics as 1. Read, 2. Unread, 3. Topics you will not cover at all. Topic that you have already read and have gone through once, start revising on priority. Under unread heading mark some topics that you think are mandatory to be covered. Fix hours in a day when you will be working on this plan. Go bit by bit, multitasking will only worsen it..so do one thing @ a time. This is not your last exam. Think of december 2015...you will have something new to worry about. Success has less to do with hard work and more to do with massive focus on your few best opportunities...so chill..manage ur time well. If possible go through the following PPT from my blog https://samyagdarshan.wordpress.com/2014/12/16/effective-study-methods/ If you still feel hopeless, come for counselling sessions.
1 person found this helpful

My brother have a problem of voice. He is male and his voice is like female voice he is 19 year's old. What should he do for getting male voice?

MASLP
Speech Therapist
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This problem of high pitched voice is called puberphonia in medical terms. Voice therapy can help him speak in low pitch. Male voice. Consult a voice therapist.
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Hello its my last years I do not why I always get frustrated irritated I do not want anybody in my life I starting hate my friends even I see old images of my friends I start anger I do not know why its happening when I remember my past its make me anger too . please help me out.

BHMS, PGD PPHC, BMCP, TRAINING IN USG
Homeopath
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Hello is there any family problem or your are not taking food and sleep properly. Please tell more about yourself to guide you. At present you take ignatia 200 one drop in 1/2 cup of water for 15 days and tell me your condition after that. Thanks.
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I m 28 years female married. I have a problem of loneliness. Drug addict. I had done love marriage but no change in unsocializing behavior nor more loneliness. Hav a partner too, my best frnd in al ways. But he is out of india. Its more than 45-55 days no intimacy. Now I dont feel lyk. I am loyal to partner. When I thot myself to get rid of mental stress. I dont feel llike. Is it sign of menopause or what. whenever I surf some site for my ownself. I end up in crying as thats comes, i m cheating my partner" what to do? Help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I m 28 years female married. I have a problem of loneliness. Drug addict. I had done love marriage but no change in u...
Actually your loneliness is due to 2 reasons------ 1.Rude behaviour of you husband as you had high expectations from him. 2.Mentally diverted your thoughts towards your boyfriend who is abroad as you think that he care for you a lot than your husband. But you are wrong here.Yes ,I am sorry to say but we call it cheating only Pooja.See this is just the beginning of your life and this is the time to enjoy life.Be loyal to your husband.It is a universal fact that FEELINGS ATTRACTS FEELINGS and you have no feelings for your husband and in return you also get the same neglected feelings from your husband.So just try to forget your friend abroad and give your full love ,attention and care to your husband and see how beautiful is your life.Dont try to travel in two boats simultaneously,you will drown one day and ruin your life.
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I was a smoker. I stopped smoking since 1 year ago but I still get chest pain please help me.

PGD Maternal Child Health, MBBS
General Physician
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I was a smoker. I stopped smoking since 1 year ago but I still get chest pain please help me.
Don't worry, this chest pain has got nothing to do with your smoking till last year. It is most likely due to muscular cause. Be firm on your resolve of not to smoke, do regular exercise and eat good nouritious food.
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I am 26 years male having a good lifestyle and no addiction of smoking, drinking or coffee but I have a headache for short duration of time everyday and I am unable to get sleep.

MBBS
General Physician
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I am 26 years male having a good lifestyle and no addiction of smoking, drinking or coffee but I have a headache for ...
If you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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My son aged 10 years have good memory but does not consentrate. Please advise.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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Do Not compare. He has good memory. Create a good home environment for concentration. Avoid TV including yourself when he is at home. Give him good nutrition ,show love and concern. Do Not compare ever with his peers/ Let him sleep/ do not overburden him Encourage him to face bravely the examination and not to be afraid of them/ Give him good and balanced nutrition and time to relax and play and be natural. Don't thing once he goes to school everything is over you need to guide him in his studies you know.
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My age is 46 and suffering from phobia of loneliness kindly help.

PhD (Psychology), MSc Psychology, MS
Psychologist
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Dear, you must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, psychotherapy techniques, life style changes etc. I think two or three counseling sessions and psycho therapy techniques should solve her problem. Let me know if she is willing to undergo counseling sessions and tailor made psycho therapy through mobile. Take care.

I have lack of concentration. Please help.

C.S.C, D.C.H, M.B.B.S
Pediatrician
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Find an appropriate study environment. Generally, it is a good idea to eliminate distractions as much as possible while studying. Find a quiet area, such as a private room. Or, if you like fresh air, go outside to an area that is reasonably free of distractions. Turn off any electronics that you don't need, especially cell phones and computers (provided you don't need a computer). Turn off music players or listen to music without words. Clear away anything you do not need and keep things organized to reduce stress and allow for better concentration. See how to concentrate on studies if you are around noisy people, or can't stop the chatter going on in your head, turn on some white noise.

I am being disturbed to studied well please give me a better solution to for studied please.

Reparenting Technique, BA, BEd
Psychologist
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You are under some stress that needs to be dealt with before you experience some relief and regain your memory and concentration.Here are some things you can do to get back your concentration and memory: Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position you must squat down and rise up and do this for five minutes every day. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid junk food.
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Hi, i am 24 years old, I'm addicted to internet. I'm using iy quite often. Due to to this I'm unable to concentrate on studious. How to overcome from this?

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
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Dear lybrate-user. I can understand. The present addiction to internet has been created by yourself and therefore you have to force yourself out of the habit. Promise yourself that you will not use the phone for any other purpose than calling. Divert your attention towards other engaging activities like physical exercises, games, entertainment, being with friends, hobbies. Etc. Take care.

It's right that smoking decrease the human stamina. Or muscle power. And if it's true how much smoking need to do that in a day.

MD - Psychiatry
Psychiatrist
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It's right that smoking decrease the human stamina. Or muscle power. And if it's true how much smoking need to do tha...
Bodily damage is directly proportional to the number of cigs smoked per day. It causes lung cancer, stomach cancer, intestinal cancer, reduced sexual performance, sterility, chronic lung inflammation and so on.
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Hi. Im addicted to tobacco please suggest me how can I forgot this.

MBBS, MD - Psychiatry, (MRCPSYCH-UK)
Psychiatrist
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If you are an occasional smoker - with public messages, health awareness programs and your own doctor's advice, you can quit. If you are a regular smoker, motivational therapy with a trained psychotherapist or a psychiatrist and enormous will power will help you quit. If you are a diseased smoker, consult a de addiction psychiatrist at the earliest. He may give you anti-smoking medications and de addiction treatment.
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Having bipolar disorder, hypertension, heart burn, profused sweating from both palm and feet. Nervous tendency.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.

I am very depressed that my boyfriend is making distance with me, he says I hurt him I tried not to every time , he didn't call me since a Month , whenever I tried to talk to him on text he gets angry n fights , he is not sharing his problem s how can I make him talk again , kindly give some suggestions.

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist
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I am very depressed that my boyfriend is making distance with me, he says I hurt him I tried not to every time , he d...
Please give him time. Your running after him, pleading to him to tell you the problem will not be helpful. You will have to be patient till he comes back to you. If he does-you win. If he does not- at least you will save yourself the pain of begging and being shown the door.
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