Dr. Balaji PAI S

Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr akshay kumar saxena Consultant orthopaedics fortis hospital, new delhi

Hi 1-1 drop of cow ghee in both nostrils at night time before sleep....take sarpgandha vati 1-1 tab twice a day....take pranacharya no tens capsule 1-1 twice a day...avoid spicy food...junk food...fermented food.....tea...coffee...do pranayama early in the morning....

hi, first u should avoid long time standing.. while sleeping your legs slightly better n upwards position use 2pillows.. take homeopathic medicine carboveg 30twice daily for 1month..

Migraine headache occurs due to stress many times but is triggered by external factor like shiny object, sunlight etc .So you have to avoid these triggering causes.

A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.

I can understand how disturbing an interuppted, inappropriate or disturbed sleep can affect your day to day life. In india it has been found 55% of patients are suffering from insomnia just because of stress, distractions and anxiety. So the best way to get rid from insomnia is to reduce the stress level. A physiotherapist can help you to give you the ways to relax your mind and give you comfort and stress full sleep. You can continue taking ayurvedic medicines also. If required consult some neurologist/neuropyschiatric and start taking medicine if it is due to some neurological discorder. And consult nearby physio who can make a perfect routine and daily life styl chart to make you relax so that you get an appropriate sleep. Please follow some points that will help you in such condition along with medical treatment: 1) use of ice packs over your eyes or frontal area for some time to give relaxation. 2) massage your head especially forehead area using levander oil or clove oil as it removes toxins from body 3) regular intake of healthy dietry food rich in proteins and vitamins. 4) avoid fasting - eat breakfast, lunch and dinner at fixed timings 5) make yourself busy by fulfilling your hobby as it will give you freshness and your mind will be diverted from normal life which help in pain reduction. 6) before sleeping time do some relaxation exercises. - sit on chair with both the hands placed on the pillow placed over thighs. - deep inhale from your nose, mouth should be closed. - hold your breath for the count of 5. - exhale completely from mouth making a loud sound. Continue to do this exercise for 10 times. Before going to bed make a habit of doing this daily. Modified technique of same exercise is while inhaling extend your arms, hold for 5 count and then exhale making your arms back in the rest position. 7) room modification while sleep - make sure room should be dark with no noise. Avoid sleeping immediately after dinner or food. Take a walk for 15 min and then come back, bed should be not too soft not too hard. 8) it is recommended to drink at least 8 to 10 glasses of water per day. It is also a very good habit to start and finish your day by drinking a good glass of purifying water. 9) exerices like aerobics (running) can be done to make your muscles active. Many other ways are there in order to maintain your life stress free and active so that you can continue to sleep on time and it does affect your life. For more help or instructions please consult. Good luck and get well soon.

I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.

Hi…1) take 200 ml of fresh buttermilk after meals, 2) eat 30-40 black currants and 1 tsf of jaggery during meals, 3) take 30 ml of juice of indian gooseberry along with 15 ml of honey in morning on empty stomach, 4) take 1 tsf of lavanbhaskar churna after meals, gives you good result, THANKS.

Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.

Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

Dear, you take homeopathy remedy some week like two, psorium 200, 2time 4drope, also advise sleep in night shutdown light, be car take care all the bast.

As the meaning of tia goes. The patient recovers completely within next 24 hours. If not. Then we call it a stroke. A tia is said to be a warning for a stroke. Good that she is under proper medications which are given to prevent a major attack. You may ask the physician to take care of her anxiety and give her some reassurances.

Headache is a common reason for patients to seek medical attention. We see so many online queries on headache. If you are suffering from headaches, read this article because, understanding your problem can help you solving it.
There are many causes of headache, and if correctly diagnosed and treated , you may become ?Headache? free.

Common Causes Of Headaches:

Migraine
Tension Type Headache
Idiopathic Stabbing
Cluster Headache
Exertional Headache
Systemic infection
Sinusitis
Head Injury
Vascular Disorders
Subarachnoid Haemorrhage
Brain Tumour
The patient who presents with a new, severe headache have causes that may be different from patient with recurrent headaches over many years.

People frequently ask me to get imaging of brain done to rule out the cause of headache. They have special attraction for MRI and CT Scans. But not every headache requires investigations. But there are headaches which require investigations. Let us understand , when a headache requires immediate attention.

Headache Symptoms that Suggest a Serious Underlying Disorder :

Worst headache ever
First severe headache
Headache worsening over days or weeks
Associated with Neurological Deficit
Fever or unexplained systemic signs
Vomiting preceding headache
Pain induced by bending, lifting, cough
Pain that disturbs sleep or presents immediately upon awakening
Known systemic illness
Onset after age 55
Pain associated with local tenderness, e.G, region of temporal artery
If you have any of these symptoms, you need to have a doctor consultation as soon as possible.

Now, let us read about two most common types of headaches, i.E Migraine and Tension type headache that we see in clinical practice.

Migraine :

Migraine, a very common cause of headache, more commonly affects women than men. It is usually an episodic headache which is usually unilateral (on one side of head) and is associated with certain features like:

Nausea (Feeling of vomiting)
Photophobia (Sensitivity to light)
Phonophobia (Sensitivity to sound)
Light-headedness
Scalp tenderness
Vomiting, Nausea (Feeling of vomiting)
Visual disturbances
Paresthesias (tingling sensations)
Vertigo
Alteration of consciousness
Diarrhea
Seizure
Confusion
People having migraine, usually during acute attacks, prefer to be alone and don?t want any sound, light, want to sleep in dark room.

Acute attacks are usually triggered by some stimulants called as ?triggers? which are commonly following :

Bright lights
Sounds
Hunger
Stress
Exertion
Hormonal fluctuations during menses
Lack of or excess sleep
Alcohol, Wine, Cheese or other chemical stimulation
Patients should try to notice their triggers and should do life-style adjustments to avoid them.

How to Deal with Migraines?

Patients having migraine should seek a medical consultation. There are drugs which are given to terminate acute attacks of migraine, as well as to prevent them.
They should have a fix routine of sleeping like from 10 pm to 6 am. They should not sleep for more than 30 min during daytime, as excessive sleeping during day time would cause problem in falling asleep during nighttime, leading to disturbance of sleep cycle and precipitation of migraine.
They should avoid wine, cheese, lemon.
Tension - Type Headache :

It is a chronic head-pain syndrome characterized by tight, band like discomfort. It is bilateral (means on both sides of head). The pain typically builds slowly, fluctuates in severity and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per month). It may be associated with sleep disturbances.

How to Deal with Tension Type Headache?

The pain can generally be managed with simple analgesics but should be taken under medical supervision as they have a long list of adverse effects. There are other drugs too, but can be given only under medical supervision.
Behavioral therapies including relaxation are also effective.
Patients with this type of headaches are advised to throw away their ?Headaches? to prevent the ?Headache? , means they should try to sort out the tension or problem that is causing the headache.

I will suggest you to apply ice fomentation over the lips for three days six hourly and revert with finding.

Do have proper follow proper follow up with neuro physican and neuro physiotherapist and take appropriate therapy and management best wishes.

4 simple ways to manage diabetic peripheral neuropathy (dpn)

You're probably familiar with diabetic peripheral neuropathy (dpn), which is nerve damage that?s caused by chronic high blood sugar. Dpn tends to be the most common complication of diabetes. Some of its symptoms include a tingling or burning sensation, difficulty walking, and numbness, especially in your feet and toes. If left untreated, dpn can eventually lead to amputation.
while dpn seems to be a growing problem within the african-american community, here are four ways to keep your dpn under control.

1. Don?t smoke.
ever notice how ?don?t smoke? is always somewhere on these types of lists? well, there?s a good reason for it. When you smoke, your arteries narrow and harden, reducing the amount of blood flow to your legs and feet, which makes it more difficult for wounds to heal.
2. Keep your blood sugar levels in check.
if you?re a diabetic, then you already know how important it is to monitor your blood sugar levels. When you have dpn, inconsistent blood sugar levels put you at risk for nerve damage, which can ultimately lead to amputation.
3. Take good care of your feet.
when you have dpn, it?s a definite must that you thoroughly wash and dry your feet on a daily basis. Also, always make sure that your shoes are well-fitted and that your socks are clean and dry. Be sure to trim your toenails straight across ? or have them trimmed by a professional. Lastly, stay away from any antiseptic products and sharp tools, including nail files, as they may cause injury and further damage.
4. Communicate with your doctor.
inspect your feet regularly. If you notice anything unusual, such as a foot injury that?s taking longer to heal than normal, inform your doctor right away! ask me privately here

Headache may be due to nutritional deficiency or due to gastric problems too. The symptoms of migraine headaches can occur in various combinations and include: moderate to severe pain (often described as pounding, throbbing pain) that can affect the whole head, or can shift from one side of the head to the other. Sensitivity to light, noise or odors, blurred vision, nausea or vomiting, stomach upset, abdominal pain, loss of appetite, sensations of being very warm or cold, paleness, fatigue, dizziness, fever (rare, bright flashing dots or lights, blind spots, wavy or jagged lines.

This is sign of anxiety recently now focused on study do not think future ki exam kesa hoga be relaxed. For study do not read new chepter or subject jo bhi padha h use hi revise karo only. Deep breathing exercise karo. Concentration isliye nahi ban pa reha kyuki thought mind mai ah rahe hai negative. So you think positive. Focused on present (today) now this time important is my exam.

You must visit a doctor and determine the correct medicines to take for your migraine. I also recommend that you meet with a counselor and may be a doctor to deal with the depression. Both these problems are connected to anger and if you do some work with expressing this feeling I am sure you will experience a lot of relief. Anxiety is often seen to go with depression but the underlying cause is anger and you need to identify whether that is of recent origin or comes from some experience in childhood. In the meantime do the following, sincerely: Have a good night?s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber, nuts, avocado, exercise regularly, eat dark chocolate, do Yoga meditation exercises, etc. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend Yoga classes etc. Watch sitcoms on TV or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scotching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in God to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love: find someone to love and to love you back. If you love yourself adequately, you will never do harm to yourself. Be positive always and learn to do everything possible to invest into yourself. Life is extremely precious and because the depression, which is a mood disorder, makes you feel like giving up you must still persevere. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard word must come from you, and your cooperation with that person is very critical for your success. Be positive everyday and learn to be contended with what you have. Do some left brain exercises: it is the happy brain. Here are a few suggestions: 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. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved. Because you are young the prognosis is good subject to your cooperation.