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Dr. Balaji PAI S

MBBS, DNBE, MBA

Neurologist, Bangalore

30 Years Experience
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Dr. Balaji PAI S MBBS, DNBE, MBA Neurologist, Bangalore
30 Years Experience
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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. Balaji PAI S
Dr. Balaji PAI S is one of the best Neurologists in S.P Road, Bangalore. He has been a practicing Neurologist for 30 years. He has completed MBBS, DNBE, MBA . You can visit him at Vitoria Hospitan in S.P Road, Bangalore. Book an appointment online with Dr. Balaji PAI S and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 34 years of experience on Lybrate.com. You can find Neurologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Armed Force Medical College,Pune - 1987
DNBE - madras medical college - 1989
MBA - Alagappa University,Tamil Nadu - 1995
Languages spoken
English

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Vitoria Hospitan

K.R. Road,BangloreBangalore Get Directions
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My father is suffering from loss of pneumatization with sclerosis seen in the right mastoid. Can you suggest me is it dangerous.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
it indicates infection of the mastoid area and its draining sinuses probably due to recent/past ear infection..first get ct scan done of the right mastoid region..(if u 've already got xray done),consult to nearby ENT specialist immediately as this condition requires immediate treatment if he is having other symptoms like fever and weight loss etc
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My father is 60 years old have paralysis in last 02years ago. Now he is not able to move anywhere. Now he is taking medicine only amlovas at. Pls guide me what can I do.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
give him tab. citicoline 500 mg twice a day. cap. ecosprin gold -10 at night. cap. neurokind plus once a day. for 3 months. avoid oily,fatty foods. give him liquid foods, consult physiotherapist also for exercises. may he get well soon.
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Following a scratch from a pet dog in late april, I decided to go for a rabies booster dose (2 doses) since I had already taken the full course last year. Around 12 days after the rabies booster (on tuesday 5th may), I had a full-on tonic clonic seizure in my sleep (around 12.30 am). The convulsion lasted for around 3-5 mins and I ended up biting my tongue badly. I have no personal or family history of seizures (febrile or otherwise) and this was the first time ever. 15-30 mins (not sure) before the seizure occurred I remember smelling burning garbage/burnt rubber. The next morning, I rushed to the local neurologist who asked me to get an mri/mrv + eeg + lots of bloodwork done. The mri/venal mri was normal, so were the eeg and the blood-tests. The neurologist diagnosed it as late onset seizure disorder and asked me to start with keppra 750 mg twice a day. The same evening I went to another neuro for the eeg and looking at my reports and history, he advised me not to start with the medicine and wait for another seizure before starting the aeds. Also neurologist no. 1 noted that the only real insult was the rabies booster shot and was concerned about the possibility of adem. But since the mri was ok he let it go. Now its been 7 days since the seizure. I have balance issues, limb weakness, difficulty remembering stuff and since yesterday I have extremely itchy palms (with small red spots) and itchy eyes. Its so bad, I was unable to sleep at all last night. Also both my hands and legs (esp my legs) keep falling asleep even when I am sitting normally and I keep getting that pins and needles sensation. My query is this: 1. Is there a possibility of developing adem or any other form of vaccine related encephalitis in the days or weeks ahead? 2. The itchy palms and eyes are a common vaccine adverse effect. Should I be concerned about that? 3. There are more than a few cases of otherwise healthy individuals having seizures/convulsions after taking nootropic vaccines like anti-rabies, japanese encephalitis, tbe etc. Http://www. Jmedicalcasereports. Com/content/7/1/66 pls do check out this link. If my seizure was vaccine meditated. Is there a way to treat the condition (with steroids etc) and/or prevent it from recurring? please do let me know.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
H, good you consulted n had 2nd opinion too, medical science so vast so everybody almost follow scientific protocol. So rely on your Dr. He'll choose you best. Can you consider to have ayurveda opinon beside your city at ayurveda college where you may suggested for rutu shudhi seasonal detox n rasayan therapy for your issues which is said? pittaj apasmar in ayurveda terms. Prognosis is good still your Dr. Will share you to alert while driving n swiming of at operating machines.
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Hi Doctor, My wife feel numbness in right hand middle finger after 3 month of delivery. What I should do? Please assist.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi Doctor, My wife feel numbness in right hand middle finger after 3 month of delivery. What I should do? Please assist.
Do consult neuro physio and rule out if sing nerve deficit of injury of median nerve and take therapy as advised.
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I am 23 years old, suffering with migraine from past few year. Is there any permanent solution for migraine? Ear pain also coming at same time, is there any relation between migraine and ear pain. Please suggest me a permanent solution for this problem.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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My father is 76 years old. Has a history of seizure, hypertension. He is suffering from low sodium and potassium since 8 Aug 15. And since then he's been in and out of hospital. We are consulting a neurologist from a reputed hospital but his condition isnt any better in all these days. Pls suggest who should we meet for further advice. Thanks.

MBBS,J.R. Neurology
General Physician,
Dyselectrolytemia is the cause of his seizures. Serum sodium and potassium have very small normal ranges and its crucial to maintain both. It does take time for it to normalize at his age so you should have patience. Proper fluid intake and diet is a must. He should be screened for any endocrinological etiology. Neurology consultation is mandatory. Take care.
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Hi, I'm 25 years old girl, actually from past few days suffering from kind of stress or can say low pain in my forehead exactly mid of eyebrows and right side eyebrow, its almost all the time when I am awake and by this I feel it affect to my nose veins. please let me know why it happen suddenly? or should I go to doctor? Please reply soon

PG Hom, London, BHMS
Homeopath, Mumbai
Hi, I'm 25 years old girl, actually from past few days suffering from kind of stress or can say low pain in my forehe...
Hello lybrate-user, headache near the eye brows is most commonly due to some or the other vision problems. It will be better if you get your vision checked. In case you have spectacles and you are not wearing them regularly, you are bound to get such headaches.
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I am 25 year old. I had a stoke of seizure in Jan-16 and my neurologist put me under medication of Levera XR 750 (once a day). As per him, these tablets are to be continued for 2 years. Then I tried to conceive in Aug-16 but had to abort as recommended by my gums due to absence of heart beat after 3 weeks. Now again I am planning to conceive and already taking COR-3 and Ecosprin-75. Now on recommendation by going, I am starting fertile F instead of Ecosprin-75. Is it safe to have Levera XR 750 during pregnancy. Pls. Note that my blood group is O negative and had Anti-D dose during abortion of previous pregnancy. Pls. Advice, is all these are enough to avoid any complications again?

MBBS, DNB (Obstetrics and Gynecology), (MRCOG)
Gynaecologist, Chennai
I am 25 year old. I had a stoke of seizure in Jan-16 and my neurologist put me under medication of Levera XR 750 (onc...
Hi lybrate-user Sorry about your early pregnancy loss. Lets list out the issues. A) Epilepsy b) Rh Negative c) 1 early pregnancy loss d) Medication confusion Now for my advice. A) You had a seizure, and have been put on LEVERA XR. It is very important that you do not stop the medicine without consulting you neurologist. Suddenly stopping it can cause seizures. It can be taken during pregnancy, but may need dosage adjustment. You gynaecologist and neurologist should decide management together. SO please continue taking it. B) Good you had the AntiD. Make sure the antibody levels are monitored through pregnancy. C) 1 early pregnancy loss is not a cause for concern. Nature tends to remove unhealthy embryos before they grow. You need to worry after 3 consecutive losses. D) Ecospirin is given for women with repeated pregnancy losses and having blood clotting disorders. Stopping Ecospirin is ok. Fertile F is a multivitamin combo, and again upto you to take it. COR 3 is folic acid tablet, and is necessary before getting pregnant and in early pregnancy. More so, since you have Seizure problem. It will help in baby brain development. LEVERA XR is VERY VErY IMPORTANT. And finally, relax, stay positive and look forward to a healthy pregnancy. All the best
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I have Juvenile Myoclonic Epilepsy. I want to drink beer but doctor said alcohol intake can trigger the myoclonic jerks. Is that true? Can't I drink alcohol?

MBBS, MD - Psychiatry
Psychiatrist, Raigarh
Yes he is right, alcohol is going to induce your seizure activity it works as a fuel in fire. So don't ever think of it.
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Im a epilepsy patient before after that I went medication under neuro doctor. Now im completely fine. Can I get marry, have sex and Kids in My Life? Is that okay for me and my children. Please assist me.

M.D.PSYCHIATRY
Psychiatrist, Jaipur
Im a epilepsy patient before after that I went medication under neuro doctor. Now im completely fine. Can I get marry...
Yes you can get married n have children. Epilepsy is a common illness with very good treatment options. Though some genetics carry risk of transferring illness to your kids. But chances are minimal and it is not a contraindication for marriage.
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I have low bp n hemoglobin is also 8.7 I have also migraine problem? My age is 26. Pls give suggestion n pls tell what medicine I have to take to cure all?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hemoglobin of 8.7 in a male suggests anemia. Consult a physician to rule out causes of anemia before you start any treatment. Migraine is common in your age group but is more common in females than males. Treatment includes - medicines to control acute attacks of headache - treatment for prevention of future attacks - treatment of associated symptoms of anxiety, stress, calcium deficiency, sleep problems etc treatments are decided after a thorough history of complaints. Consult online for further queries and assistance take care.
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Hello Dr. I was diagnosed for epilepsy for 3 years and last year my course get completed bt. From then my hairs are falling out. I was on epsolin 300 er. I did'nt use hair oil daily too. So now i am confused either my hairs are falling because of drug I took or due to what? please help me. And please tell me different types of hair fall patterns. Hairs from sides are more falling out and hairs density on the whole head is becoming less and less. Some hairs are grey too. Please help me. I am taking paratab bz. Is it right?

Vaidya Visharad
Sexologist, Narnaul
Hello  Dr.  I was diagnosed for epilepsy for 3 years and last year my course get completed bt. From then my hairs are...
Just as your overall health will benefit from eating a balanced diet, so too should the health of your hair. Once it?s gone, it?s gone, so don?t put foods in your body that speed up hair loss. You may be experiencing a thinning on top already, but you can counteract this (or at least slow it down) by eating from every food group daily -- concentrating on foods that are rich in protein, iron, silica, and zinc.
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I have migraine from 5 years and I suffer from it every month. How to get rid from it?

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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I am suffering from sleeplessness. I think it is insomnia. What is insomnia. What should I do to get rid of it.

COMT, MPTh/MPT
Physiotherapist, Surat
I am suffering from sleeplessness. I think it is insomnia. What is insomnia. What should I do to get rid of it.
Yes it is a symptom of insomnia. 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. 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.
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My father is around 73 years he has difficulty in walking and now has some problem in voice clarity. He is diagnosed with parkinson. Can you suggest what should I do so that I can improve his ability to walk and improve his health. Sincerely looking forward to u'r help and advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Parkinson's disease-kampavata (a neurological disorder) parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia. When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of parkinson's disease eventually develop. Parkinson? s disease prevalence:- parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of parkinson's disease patients are diagnosed before they are 50 years old. The prevalence of parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of parkinson's may have a higher risk of developing the disease, but parkinson's disease is rarely attributed to genetics alone. Parkinson's disease symptoms symptoms of parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The main symptoms of parkinson's disease include? tremors (kampam)- tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of parkinson's disease? rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of parkinson's? bradykinesia:- describes the unnaturally slow movements that are characteristic of people with parkinson's disease? poor balance- parkinson's disease affects balance, leading to difficulty walking and impaired coordination. The symptoms of parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended. The outlook for people with parkinson's disease parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly. Each individual's situation is different, but in general, the first symptoms of parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? tremors that become more pronounced and interfere with activities? bradykinesia, or slow movement, that becomes disabling? difficulty with hand writing? impaired swallowing and chewing? speech that becomes monotone? poor balance and repeated falls? slow, shuffling gait (manner of walking)? stooped posture? facial expressions that become stiff and blank? chronic constipation? poor bladder control? sleep disturbances this progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression. Ayurveda treatment: there is cure for parkinson's disease with ayurveda treatment, with ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible. As far as parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.
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How to Deal With a Patient Suffering From Asperger's Syndrome?

MBBS, MD - Psychiatry
Sexologist, Mumbai
How to Deal With a Patient Suffering From Asperger's Syndrome?

Asperger's Syndrome or Asperger's Disorder is a neurotypical condition that affects the development of the child the effects of which continue into adulthood. This condition typically shows up as difficulties faced by the patient when it comes to social interactions as well as other nonverbal means of communication. It should not be confused with autism as the patient has no speech and cognitive development delay. 

Asperger's syndrome can show up as restricted and repetitive patterns in the behaviour of the patient. It lies at the higher end of the autism spectrum and the signs are usually less obvious.

Here are a few ways with which you can effectively deal with someone who is suffering from this disorder:

  1. Routine: The patient suffering from this condition will need a certain kind of stability as it is very difficult to predict what will happen in the near future or to even plan for it. The best way to tackle this scenario is with the help of a proper routine that can help the patient achieve some kind of control over the situation surrounding him or her so that he or she is better equipped and more capable of handling normal functioning and social situations as well.
  2. Information: It is also a good idea to help these patients in looking at and in processing information. While normal people may easily be able to discard insignificant or unimportant information, the brain of the patient suffering from asperger's syndrome does not allow him or her to do so. In many cases, the patient is not able to filter the important and the unimportant information. This can debilitate many functions. So, it is important to be present to help the patient in making decisions and processing information that is actually relevant to his or her functioning.
  3. Learning: One of the most crucial things to remember with the Asperger's patient is that they tend to understand and process things when they have a visual presentation rather than being told verbally. So showing them things practically in the proper manner is the right way to help them learn and process situations in a correct way. This will prevent them from doing things in the same old way even when their brains tell them that it will lead to wrong results.
  4. Physical Abilities: Poor motor skills as well as lack of proper organisation skills are traits that usually characterise these patients. It is important to make them aware of this during games and activities that require management as well as use of social skills. For example, football and other such activities can be introduced in the routine. This will promote interaction with the team in order to play and enjoy the game.
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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Why does a test taker need to be reevaluated if a disability (such as a learning disability, ADHD or autism spectrum disorder) is lifelong?

B.A. Psychology, M.A. Psychology, Ph. D - Psychology
Psychologist, Delhi
Why does a test taker need to be reevaluated if a disability (such as a learning disability, ADHD or autism spectrum ...
Although these conditions are lifelong, with intervention some problem areas can be maintained/ improved over time. Reevaluation helps your therapist / mental health professional assess and judge the effectiveness and direction of therapy and take course accordingly. In case some medication has been prescribed, reevaluation helps monitor the dosage.
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I am suffering from migraine last two year Please suggest me I am a 36 year old man.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
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My hands doesn't work properly. Dr. Says my nerbs has been blocked. And my reports are normal.

MD - Psychiatry, MBBS
Psychiatrist, Patna
At this age nerve block is alarming. We have to rule out leprosy also as it may cause this symptom and for this a dermatologist may help you by examining you and sending a biopsy. What about your mri spine?
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