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Dr. Kartik

MBBS

Neurologist, Bangalore

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Dr. Kartik MBBS Neurologist, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Kartik
Dr. Kartik is an experienced Neurologist in Jayanagar, Bangalore. He has done MBBS . He is currently associated with Maiya Multi Speciality Hospital in Jayanagar, Bangalore. Book an appointment online with Dr. Kartik on Lybrate.com.

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MBBS - - -

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Maiya Multi Speciality Hospital

#34,10th Main Road, Jayanagar,1st Block. Landmark: Near Ashoka PillerBangalore Get Directions
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Maiya Multi Speciality Hospital

#34,10th Main Road, Jayanagar,1st Block. Landmark: Near Ashoka PillerBangalore Get Directions
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I'm 31 male, have measured 142/92 bp, taking migraine plus and homeopathy too. Now regularly bp coming 120/80 avg. Till how many days I have to take this medicine.

MBBS, MD - Internal Medicine
General Physician, Ghaziabad
Migraine plus tablet is not the drug to lower bp. U have not mentioned homeopathic medicine you are taking fr what reason. U should regularly check your bp for 3 days if consequtivly it is high than you need to be on medication. As your age is not much you require proper evaluation for having high bp. U should consult a physician in person and get investigated properly.
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On November 2014 I suffered from retrobulbber optic neuritis and neurologist gave me solumedrol 1gram so it cured the infection. Now it sometimes pains on the right side of my head as it used to pain at the starting time of the infection. My right eye was not fully cured now also there is only around 80% vision visible rest of the vision is blurred. Note: I also have history of dengue.

DM - Neurology
Neurologist, Rajkot
On November 2014 I suffered from retrobulbber optic neuritis and neurologist gave me solumedrol 1gram so it cured the...
You suffered optic neuritis which has been partly cured. But the pain may be unrelated to optic neuritis. Only if there is further loss of vision in the same eye than the pain can be attributed to recurrent optic neuritis.
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I am suffering from chronic constipation with hypertension and parkinson's. What is cure. Am 64 years old.

BHMS
Homeopath, Raebareli
I am suffering from chronic constipation with hypertension and parkinson's. What is cure. Am 64 years old.
Please note that you need to consult and take treatment properly for your chronic problems. For constipation please use the below: Baking soda lies at the heart of home remedies. It’s is so incredibly versatile, and it pretty much does its job 95% of the time. It works incredibly well for constipation (and tummy aches in general) because it is a bicarbonate, which will encourage air to come out of you one way or another, and relieve pain from pressure. It also re-alkalizes the stomach, neutralizing the acid a little bit and helping things pass through your gut. You will need… -1 teaspoon baking soda -1/4 cup warm water Mix a teaspoon of baking soda with ¼ cup of warm water. Drink all of the mixture-the quicker you finish it, the better it seems to work. Rest of the problems get back to me...
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I am 25 year and suffering from migraine from last 2 years I have gone through many doctors but they can't care of it. What should I do to control it?

BAMS
Ayurveda, Bangalore
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I have migraine headache from my 14 age I am not able to bear that pain Doctors told no proper treatment for this If any suggestions please inform.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing type of headache, you can keep the severity and frequency to minimum by taking prophylactic course for few weeks. To avoid relapses avoid - prolonged sun exposure, fasting, inadequate sleep, stress, watching TV in dark rooms etc
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What is the difference between seizure attack and panic attack. What do we call if someone gets sudden feeling of fear. Losing concentration. Becoming very sluggish. Unable to think logically. Mind goes blank. Unable to have restful sleep. Sudden change in appearance and behaviour and you will have this condition suddenly without any reason and whenever it happens others able to identify easily and by taking tablet at that time will make you normal again within couple of minutes. And no idea when it will reoccur again. What is it? why it happens and what to do to not to happen? Please advise.

MD - Psychiatry
Psychiatrist, Chennai
What is the difference between seizure attack and panic attack.
What do we call if someone gets sudden feeling of fea...
Seizure attack is due to abnormal electrical activity in brain, which can produce motor, sensory, emotional or behavioral problems depending on the area of the brain in which the electrical activity occurs. Panic attack is sudden severe form of extreme anxiety, characterized by feelings of doom, going crazy, dying, something terrible going to happen, pounding heart, sweating, tremors and so on. This is due to serotonin imbalance in the brain. Consult a psychiatrist, and get treated.
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The doctor told me that I have familial MONOMELIC AMYOTROPHY but none of my family member has this. Only my elder brother has same problem but not so severe. My hands have wasted and nerves can be seen. I am unable to lift anything for a long time with my left hand. One doctor advised me to take FOLVITE tablets but still there is no improvement. Can any doctor please suggest me some medicines so that I can regain my strength in my hands?

DM - Neurology
Neurologist, Hyderabad
Monomelic amyotrophy is type of motor neuron disease. Motor neuron disease is type of degenerative neurological disorder in which the nerve cells in specific parts of body gets automatically destroyed so that muscles in the body degenerate and got wasted. In familial cases some of the family members (not all) carries a defective gene which are responsible for this spontaneous degeneration of nerve cells. Though motor neuron disease is a dangerous non treatable fatal disease, monomelic amyotrophy very fortunately a rare variant of motor neuron disease which usually does not progress after certain stage, but muscle that already damaged can not be recovered. Till date there is no specific curative therapy not available, but number of researches taking place throughout world. Probable some of them may become successful to create some hope in near future. But you get relaxed that at least your disease is not that much serious or fatal, but what damage already occurred that is not reversible, so learn to live with that disability, only thing you can do and motivate yourself.
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I feel tiredness on occipital lobe of the head like it goes heavy. kindly advise?

BAMS, YIC, DEC
Ayurveda,
Hi this may be due to work strees, are due to night outs, less sleep are may be due to injury in occipital area better you get eeg once.
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I am 33 yrs old female, since past few months I am feeling numbness in my left arm and at times I have problem in breathing and its becomes very severe and then I had to take nebulisers and pumps of beudecord and asthalin. Kindly suggest because after this my body becomes week and very week. Pls guide what is this. I have thyroid and taking thyronorm 100 mcg.

MD - General Medicine, Diploma in Diabetology
General Physician,
I am 33 yrs old female, since past few months I am feeling numbness in my left arm and at times I have problem in bre...
You need a chest x-ray n sugar levels checked offcourse would like to know your thyroid profile. Actually you must visit the physician nearby you.
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I have been suffering from migraine for last 9 years. The severe headache have affected me very badly please suggest some medication to get rid out off this. Just want to know whether migraine is curable and what habits should I inculcate to reduce its frequency. Please provide me information regarding medications and habits to follow to overcome this pain. Thank you so much.

BHMS
Homeopath, Pune
I have been suffering from migraine for last 9 years. The severe headache have affected me very badly please suggest ...
Dear lybrate user migraine is severe headache having throbbing pain at one side food such as cheeses, salty food may trigger migraine drinks specially wine stress at work or home cause migraine sleeplessness or getting too much sleep. Avoid all factors that trigger migraine eat regularly & do not skip meal regularise a sleep schedule exercise regularly quit smoking when symptom persists lie down in dark, silent place get some sleep avoid eating drink only water apply cold compresses on forehead take equal quantity of carrot n spinach juice mix it take homeopathy medicine belladonna 200 thrice daily for 3 days revert back privately thanks.
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I suffered from migraine. I am very disturb. Please tell me how can I get rid of migraine?

BAMS, MD Ayurveda
Sexologist, Lonavala
You can also try thes home remedies 1. Take ½ glass of carrot juice 2. Add ½ glass of spinach juice 3. Mix well 4. Drink this juice to cure migraine Surely you will get results.
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I have severe and permanent pain from brain to foot of full left side since last 12 years. From which problem I am suffering? Is it neurological disease? Should I consult to neurologist doctor? I have not taken any treatment till today. Sometimes take painkillers otherwise I am suffering pain.

BPTh/BPT
Physiotherapist, Delhi
1. Get cervical and lumbar spine X ray done 2. Start with Physiotherapy treatment 3. Learn exercise from Physiotherapist 4. Do hot fermentation twice a day 5. Apply volini cream before sleeping 6. Take calcium vitamin D 3 and Methylcobalmine supplement for one month minimum 7. Don't sit on floor 8. Don't lift heavy things 9. Don't do forward bending 10. Wear knee cap for knee pain 11. Wear Lumber spine belt if pain in back.
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I am suffering with severe headaches/ migraine since more than 10 years. My headaches frequency has reached upto almost everyday and every time they reach to unbearable limits. Can you please suggest me any medicine in homeopathy without side effects. Thanks.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I am suffering with severe headaches/ migraine since more than 10 years. My headaches frequency has reached upto almo...
Dear lybrate user, you may take belladona. 30 during headache thrice five drops in water for pain. You did not mentioned the details about your headache. Like is there anu nausea or in which side you feel headache and how you get relief. Let me know the details.
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Dear Sir/madam. I am suffering from migraine. Every day I use to get severe Headache. Really intolerable. I will not be able to listen to any sound when I am suffering from headache. Many of them say that there is no cure for migraine. Can you please suggest if any medicine or any other formula to control it. Usually I use to get either right side r left side. Please reply me. And provide your valuable suggestions to me so that I can be out of migraine. Thank you.

MBBS
General Physician, Alappuzha
Hai Ms. Lybrate-user, migraine can be controlled by avoiding the factors giving rise to it. You need to observe the factors that increase your migraine and strat avoiding it. In severe cases, prophylactic medication have to be started. And yoga will help you to decrease the episodes of it.
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Hello I am suffering for moyamoya disease I am 14 years child my weight is 23.50 I also suffering for full body paralysed and my head both side operation and when I have 1 years old my heart operation my heart fitting a pda device in Bangalore in narayana heardyala and I go Bangalore10 Times and valour 8 Times valour hospital cms and Bangalore nimhans hospital manipal hospital

MD - Psychiatry
Psychiatrist, Indore
You are visiting reputed institute. You have uncommon disease. Regular visit there and asking proper questions to treating doctors will help you the most. Still you want to ask some question go ahead and ask. I will reply. [Automatically added by Lybrate] Click "Consult Dr. Samir Desai" below to consult privately with the doctor.
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I am having lumbar spondylisis. According to mri report there is mild disc pressure on lower nerve. I have been doing exercises as advised by doctor and taking etoshine or ezact 90 tabs as required. It is for the last two years. Twice I felt numbness in my both the legs about 4 months back. Now I get pain or burning sensation in 3 middle fingers of left feet sometimes is it serious. Please advise.

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. I need to see: 1) detailed neurological charting i. E both motor and sensory done by a physiotherapist of your lower limbs 2) mri ls spine 3) x ray ls spine ap & lateral ( flexion and extension ) views once I have them, I can see and advise you in a better manner do not hesitate to contact me if you need any further assistance.
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Hot packs are very effective as they dilate blood vessels and increase blood flow, delivering needed nutrients and oxygen to cells in the area being heated, aiding the removal of cell waste and promoting healing.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hot packs are very effective as they dilate blood vessels and increase blood flow, delivering needed nutrients and ox...
If used judiciously and cautiously it may be useful remedy, but as a routine one should not apply hot packs. Constant exposure to heat after many years is known to produce damage to tissue, skin ulcer and cancer (for example" kangri cancer").
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.

CAUSES:

ANTENATAL CAUSES:

  • Genetic causes: First or second degree consanguineous marriage.
  • Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
  • Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.

Trauma to the mother:

  • Infection to the mother can make the baby prone to develop it.
  • Malnourishment of the fetus especially in case of twins.
  • Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.

NEONATAL CAUSES:

  • Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
  • Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
  • Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
  • Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
  • Neonatal meningitis: Usually associated with severe residual brain damage.

POSTNATAL CAUSES:

  • Delayed cry: Causes asphyxia to the brain causing CP.
  • Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
  • Trauma: Fall of the body after birth.
  • Infection: Like meningitis, or encephalitis can cause brain damage.

TYPES OF CEREBRAL PALSY:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
  3. Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.

 

EXERCISES IN SUPINE POSITION

Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.

Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..

Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.

Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.

Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.

In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.

The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.

Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.

EXERCISES IN SITTING

The therapist should hold and support the child in sitting position. Time should be noted daily.

Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.

Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.

Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support

EXERCISES IN STANDING

STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.

SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.

WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.

Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.

Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.

Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.

Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.

Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.

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