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Dr. Chandramouleesha

Neurosurgeon, Bangalore

Dr. Chandramouleesha Neurosurgeon, Bangalore
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Chandramouleesha
Dr. Chandramouleesha is a renowned Neurosurgeon in RMV 2nd Stage, Bangalore. You can consult Dr. Chandramouleesha at R M V Hospital in RMV 2nd Stage, Bangalore. Save your time and book an appointment online with Dr. Chandramouleesha on Lybrate.com.

Lybrate.com has a number of highly qualified Neurosurgeons in India. You will find Neurosurgeons with more than 38 years of experience on Lybrate.com. You can find Neurosurgeons online in Bangalore 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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# 3 1st Block, Dollar Colony RMV 2nd Stage, Raj Mahal Vilas Extension 2nd StageBangalore Get Directions
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I am 54 year male and from last 10-15 days I feel numbness and tingling sensation in my right arm till the tip of my fingers. What should I do doc ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query. I am dr akshay from fortis hospital, new delhi. These are symptoms of impingement of a nerve maybe in spine if you are having neck pain or any nerve in its course. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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I am suffering from migraine from past 3 years. Only at the time of treatment ill be ok ok but after completing the course again it will come. What to do?

BHMS
Homeopath, Faridabad
Migrain is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homeopathic remedy will also vary. Prevention tips :- 1. Keep a headache diary: This may help you in identifying the trigger factors such as foods, activities and weather 2. Exercise regularly: Regular exercise, yoga and relaxation techniques such as meditation can also be of great help. 3. Keep regular sleep patterns: Sleep adequately. Sleeping too much or too less can trigger migraine. 4. Watch out what you eat:Foods such as caffeine and Chinese foods that contain monosodium glucamate and chocolates cheese are well-known trigger factors. 5. Eat regularly: Fasting is a very common trigger in many people. If it is such a factor for you too, make sure that you eat at regular intervals. ***Selection of Homoeopathic remedy depends upon the totality of your symptoms. So please share your symptoms.
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How to Deal With Abnormal Sleep Behaviour in Children?

Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
Pediatrician, Delhi
How to Deal With Abnormal Sleep Behaviour in Children?

Sleep problems, which can be defined as a sleeping pattern where the parents are unsatisfied, are one of the leading concerns of parents. Children should get a minimum nine hours of sleep so that their health and brain development can occur. Sleep problems can affect not only their health, but also their social and school life. Any interruption or abnormality in a child's sleeping patterns should be examined by a doctor and parents should make necessary efforts for knowing the actual causes of sleep interruption of their kids.

What are the causes of sleep disorders in children?

  1. Injuries and accidents
  2. Behavioural troubles
  3. Overeating
  4. Slow-reaction times
  5. Performance problems
  6. Mood problems
  7. Learning, concentration and memory troubles

Common signs of sleep troubles in kids:

  1. Difficulty in falling asleep
  2. Occurrence of unusual events at the time of sleeping like nightmares or sleep-walking
  3. Snoring and breathing pauses
  4. Difficulty in staying awake in daylight
  5. Daytime performances can be adversely affected

Best methods for dealing with sleep disorders in children:

  1. Regular bed-timing should be sincerely maintained at night.
  2. Relaxing routine for bedtime needs to be followed,including story-book reading, getting warm bath and others.
  3. Noise in the house, especially at night, should be minimized so that unwanted disturbances can be eliminated.
  4. If the room temperature is pretty comfortable, then your kids can sleep peacefully.
  5. Giving caffeine in excess quantity, especially before sleeping, should be reduced otherwise the kids will not sleep well.
  6. Meals should not be provided just before bedtime; rather they should be taken a few hours before sleeping.
  7. If your kids are so very addicted to different electronic gadgets or devices like telephones, televisions, computers and others, then they might face sleeping troubles. Thus, it is your duty to keep your kids away from this kind of addiction.
  8. If your kids are too very tired, then do not keep them awake forcibly; rather you should make them sleep immediately so that they can get a relaxed sleep at night.

If you think that sleep disorder has become a serious issue with your kids as well, then nothing can be a better option than consulting any health physician. They can best analyse the underlying cause of this issue with your kids.

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Sir, I ve been suffering from Headache in the rear part of the head for a period of over 1 year, I am feeling it severe early in the morning when I am on the bed. diminishing after 1/2 of an hour. Is it migraine pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Sir, I ve been suffering from Headache in the rear part of the head for a period of over 1 year, I am feeling it seve...
1) massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) apply chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) take 8 hrs sleep in the night. 4) avoid oily & spicy food. 5) pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) do eye check up if headache persist as per your complaints it's not migraine. Itching might be due to infection.
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I'm 50 years old. And i'm having a severe pain in my shoulders. The pain starts from the neck, and comes to the shoulders. Whenever the pain comes, the area gets swelled up. What should I do? Is it related to physiotherapy or should be consulted to neurologist? what should be done to this pain?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to tell me since when have you been experiencing neck pain, the radiation of pain is it to shoulders or goes in your hands also? is there any weakness, numbness, paresthesias etc also associated with it? swelling can be due to multiple reasons, but if your swelling is in both shoulders then it can be related to your physiotherapy, my advice will be to stop your physical therapy till swelling subsides, take anti inflammatory medications initially, do ice packs at home, take adequate calcium and vitamin d as per your requirement and let me know in 2-3 weeks time how you are feeling? do not hesitate to contact me if you need any further assistance.
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Hi doctor i'm 28 years old I have feet numbness since 1 month.

MS - Orthopaedics, MBBS
Orthopedist,
Hi doctor i'm 28 years old I have feet numbness since 1 month.
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
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Hello, My Wife have Migraine problem and she is suffering too badly from this pain. Please suggest me possible treatments for the same. Thank You.

PDDM, MHA, MBBS
General Physician, Nashik
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.
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Can I take MRI tests to diagnose dementia ? What are the other tests to diagnose it ? I am 18 year old I have a doubt that I may have a kind of dementia?

MBBS
General Physician, Bangalore
I don't think you have dementia. If you think you're forgetful that's because you have issues with concentration or simply that you don't find something so interesting that your mind bothers to keep it. So, work on your concentration, do meditation. Dementia is common in old age. You're too young to think about that. To answer your question yes, mri do show the pathologies that may cause dementia.
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My daughter age is 30 years, Has a severe pain on the back side of her head and cough, fever, and breathing problem. Doctor has informed me as it is a migraine problem. Kindly guide me for the same.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My daughter age is 30 years, Has a severe pain on the back side of her head and cough, fever, and breathing problem. ...
now a days is season of viral fever..pl. go for tests ns1,cbc,mp,blood sugar, till then you can give her tab. combiflaim twice a day. syp. zeet expectorant 10 ml thrice a day. tab. lcz once a day after meal. after tests give her antibiotic by doctor.
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Are hands and legs shivering hereditary ?

MD - Pathology
General Physician,
This can be hereditary. But there are numerous other causes which we need to rule out. It could be neurological, thyroid, certain drugs, alcohol, anxiety, liver disease and many more. Go to a medical specialist for complete evaluation.
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My head is aching continuously from the past week. What are the symptoms of migraine?

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My head is aching continuously from the past week. What are the symptoms of migraine?
Are you feeling one sided pain and nausea etc. let me know the details first. At present you may take Belladona 200 thrice a day only three drops in water.
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Had seizures 4-5 times 10 years back. Was on medicine (encorate chrono and gardenal) for next 6 years and then got normal. From. Last four years not taking any medicine and is perfectly alright and normal. Is it ok. To take CAVERTA 50 MG once in a week and if not what medicine you suggest for ED? Regards.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Had seizures 4-5 times 10 years back. Was on medicine (encorate chrono and gardenal) for next 6 years and then got no...
Homoeopathic medicine DAMIAPLANT ( SCHWABE) Drink 20 drops in 20 ml fresh water 3 times daily for 2 months and report thereafter,
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I have problem of fit attack and since then I have put on a lot right now my weight is 86 kg I want to loss it but don't want to take medicine I want some natural remedies and I have a lot of pimple and acne problem also I want to remove that things from my face but natural remedies don't want to take any medicine for weight and skin.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Gurgaon
I have problem of fit attack and since then I have put on a lot right now my weight is 86 kg I want to loss it but do...
Go for brisk walk 45 minute daily. Take 3 cup green tea daily (jasmine flavour). Have diet rich in fruits vegetable salads & multigrain aata roti avoid rice, deserts, and fried stuffed. Drink 2-3 liters water in a day.
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How to Deal With Epilepsy?

MD (Med) -, MBBS
Internal Medicine Specialist, Gurgaon
How to Deal With Epilepsy?

Epilepsy is a relatively common disorder. Most cases of epilepsy can be controlled with a combination of drug therapy and healthy lifestyle. In some cases, surgery may also be advised. Epilepsy affects not only the lifestyle of the patient but also that of their caregiver. Each person reacts to epilepsy in a different way and hence the type of care needed also varies from person to person. While some patients have few seizures and require care only when they're having a seizure others need round the clock care. Here are a few tips to keep in mind if a loved one suffers from epilepsy.

  1. Know what type of epilepsy he/she is dealing with: Not all epileptic seizures are the same. Find out what type of seizures your loved one suffers from and what are the possible triggers associated with Involve yourself in their lifestyle. Epilepsy should not be a reason for your loved one to lock themselves in a room to stay safe. Participate in activities with them of you feel the activity may be a safety risk if they were to have a seizure; for example - swimming. 
  2. Notice seizure triggers: Often an epileptic patient may not remember the seizure after it has occurred. As their care giver, keep a seizure diary to track their seizures and its related triggers. Look for patterns in the triggers to their epilepsy attacks.
  3. Keep them safe during a seizure: When experiencing a seizure, the patient will lose consciousness, experience muscle convulsions and may grit his teeth. If the person is standing, hold them so that they do not fall. If they are lying down, try turning them onto their side. Do not put anything into their mouth.
  4. Take care of them after a seizure: After the seizure, people are most likely to be confused, tired and have a headache. Check for injuries and keep them calm till medical help arrives. Loosen clothing around their neck and ensure that there is nothing inhibiting their breathing.
  5. Medical identification: While someone who suffers from seizures often is likely to always have someone with them, others who have rare seizures may often venture out alone. In such cases, ensure that they always have medical identification on them. Also make sure that their friends, colleagues etc are aware of their medical condition.
  6. Help them maintain a healthy lifestyle: Staying active is essential for people with epilepsy. Avoid contact sports and pick low impact exercises like walking, running or swimming. Following a buddy system is essential when an epileptic person works out. If you wish to discuss on any specific problem, you can consult a neurologist and ask a free question.
3060 people found this helpful

Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

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Sir, I am suffering from epilepsy (seizures) from the last 10 months doctor has suggested me to take medicine levepsy 500 mg (levetiracetam) but from 3-4 months my parents are saying that my eyes fluctuate but I am not known to this so the doctor increased my medicine from 500 mg to 750 mg but still no effect and also I am not satisfied from my doctor's advice please help me.

MBBS, cc USG
General Physician, Noida
Hello, Is CT scan/ EEG was done? can cause of seizure was detected ? I want to tell you that medicine as advised by your Doctor need to be taken regularly and must not missed dose even for single day You can Consult Good Neurologist for second opinion, i can guide you further
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What are side effects of antidepressant? What are the treatment for migraine pain?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
All ani psychotic, antidepressent medicines are dopamine antagonists and beta blockers. LOng usage may leads to un recoverable diseases fo brain like parkinsons disease, alzhimers etc.
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My husband is having migraine frequently. Which is the best treatment to avoid migraine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine R-16 drops (Dr Reckeweg)Drink 20 drops in 20 ml fresh water 3 times daily. MIG AID ( Bakson) Chew 1 tab twice daily Daily 30 min BRAMARI PRNAYAM Early morning
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