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Dr. N. C. Prakash

MCh

Neurosurgeon, Bangalore

14 Years Experience  ·  500 at clinic
Dr. N. C. Prakash MCh Neurosurgeon, Bangalore
14 Years Experience  ·  500 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. N. C. Prakash
Dr. N. C. Prakash is a trusted Neurosurgeon in Richmond Road, Bangalore. He has been a practicing Neurosurgeon for 14 years. He studied and completed MCh . He is currently practising at Hosmat Hospital in Richmond Road, Bangalore. You can book an instant appointment online with Dr. N. C. Prakash on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurosurgeons in India. You will find Neurosurgeons with more than 34 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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Education
MCh - Sri Chitra Trinath - 2003
Languages spoken
English

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# 45 Magrath RoadOff Richmond RoadBangalore Get Directions
500 at clinic
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What do I to take care of numb on one's feet that has spent more than two months.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Rule out diabetes & vit. D deficiency or any other metabolic disorder. Physiotherapy usually helps any way take paracetamol 250mg od & sos x 5days you will need other supportive medicines also. It may have to be further investigated do reply back for private consultation and detailed treatment plan.
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Doc I am suffering from migraine wat are the appropriate short term and long term medications that you would suggest me.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Change your routine- Do following- 1.Sleep . Go to bed and get up about the same times every day, 2. Exercise regularly. 30 mts daily morning walk 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music . Walk for 5 mts 6. Do meditation for at least 10 mts daily. 7. Do deep breathing ex for 10 mts daily.
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The neurologist has prescribed aten-50, cilacar-10. Rebiprazole-20, revortril0. 5 & rejunex cd3 for me for shaking of body and hypertension. Please Advise me are these medicines appropriate?

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Believe in your doctor prescription or go for second opinion online prescription without study your case might be no more useful for you.
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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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I have migraine since last 6 months please can you suggest me some medicine or home remedies?

MBBS
General Physician, Cuttack
Take Paracetamol 500mg one Tablet sos after food, drink plenty of water and take rest.. Check your BP, avoid stres sand anxiety since it precipitates migraine attack If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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I have been suffering from Parkinson's disease for the last two years and am being treated with levodopa (Dopamine) (Syndopa tablets, Ropark and Entacom. This makes me very sleepy and confused and has been hampering by work (I am a research scientist now 70 years old but till the Parkinson's hit me very active academically). I feel depressed all the time. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
I have been suffering from Parkinson's disease for the last two years and am being treated with levodopa (Dopamine) (...
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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I had my bypass surgery in november 2014 for all four arteries. I still have sometime numbness and pain in my chest. It it normal and how long this will continue ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
This is normal and it will improve with time but I will certainly recommend you a homoeo medicine to take along with and i think it will surely help you in long term tonicard ( sbl ) 20 drops twice daily in 20 ml fresh water for 1 year and report me thereafter.
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I am 21 years old suffering from sever migraine problem from last two years. I have consulted many doctors but the pain remains same. Please suggest any medicine or treatment.

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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I have epilepsy. What should I do to prevent myself from getting another epilepsy attack?

MBBS, cc USG
General Physician, Noida
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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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
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.
CONtact me Privately for any advice
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What is the treatment of an rood traffic accident. Patient come in head injury and massive blood loss?

MBBS
General Physician, Cuttack
He has to be immediately admitted to hospital icu, ct scan of brain has to be taken. Neurosurgeon has to be consulted for advice and treatment.
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I am 53 years old and diabetic for the last 20 years. My sugar level is under control for the last 1 year hb1 c is 7.5. I am suffering from neuropathy and current meditation is mahagaba m 75 twice and matilda forte one in night with some homeopath liquid drops twice a day. It is not worsening but not getting cured and some time left claws and lower leg get too much stiffness. Pls advice for neuropathy. My medicine for diabetes are glovusmet 50/500 and reclide sr, diaback at lunch and glucocorticoid sr1g at dinner. Please advice for foot neuropathy.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
I am 53 years old and diabetic for the last 20 years. My sugar level is under control for the last 1 year hb1 c is 7....
Good control of diabetes over time is the key to treating diabetic neuropathy. There is no cure for neuropathy, but keeping your blood sugar within a target range can reduce symptoms and prevent them from getting worse. To help control your diabetes, eat food that is good for you and exercise. Controlling diabetes means maintaining blood sugar levels (a1c) within the target range. This will do more than anything else to help prevent diabetic neuropathy from getting worse. Initial and ongoing treatment treatment for diabetic neuropathy depends on your symptoms and the type of neuropathy that you have. In general, treatment focuses on reducing current symptoms and preventing the condition from getting worse by keeping your blood sugar level within your target range. You can keep your blood sugar levels within the target range by taking your insulin or oral diabetes medicine as prescribed, checking your blood sugar levels, following your diet for diabetes, exercising, and seeing your doctor regularly can use vitamin e tablet and if you do not get relief you contact bacl wish you good health regards
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Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
long term use of computer key board can lead to a condition of numbness and weakness in hand called Carpal Tunnel Syndrome. If your hand gets numb in the morning after waking up consult your doctor.
5 people found this helpful

Im 38 years old, I had paralysis in my left region in 2008, can I do heavy workout?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
If you are absolutely fine now then you can do workout but not so heavy...in the guideline of a gym trainer
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My sister age is about 55 years. She has got problem in morning hand shivering, weakness. We had done almost all test. All are normal had b12 injection. Take all medicine. But its not after few hours in morning it will all right. Now what to do.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
No need to worry Mr. Paresh, just ask your sister to avoid fried oily and junk food. Avoid aerated drinks. Take proper sleep. Do pranayama in the morning for half an hour. Take tab, neurobion forte once a day. Apply n massage mahanarayan tail on both upper limbs for fifteen minutes every alternate day in the morning.
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Hello sir I am anxiety patent and also my digestion power is not good whatever i eat can't digest and and my hand shaking, do not feel strength in my body.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hello sir I am anxiety patent and also my digestion power is not good whatever i eat can't digest and and my hand sha...
You must immediately seek help from a counselor. Your fear is creating an obsession and that is leading to anxiety. The stress of this anxiety is causing the indigestion and therefore weakness. Before it gets out of control and difficult to deal with seek help earlier, especially about this fear. If the fear is of recent origin, you could perhaps identify it and deal with it. But if it is from a long past, then much work has to be done to sort that out. If medication is required please cooperate with both the therapies to get the best results. Sometimes this kind of nervousness could be genetic too. In the meantime you must do certain things to build your constitution physically, spiritually, emotionally, and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body’s health by physical fitness through exercise, good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart’s fitness; meditation for the brain’s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the callisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again.
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I am 21 years old. Whenever I lift heavy weight in the gym, my body starts shivering and I feel sick. What should I do for increasing energy? Y.

MBBS
General Physician, Mumbai
I am 21 years old. Whenever I lift heavy weight in the gym, my body starts shivering and I feel sick. What should I d...
I will suggest you to eat nutritious home made food with adequate fluid intake and few diet tips - not to eat fried food items and can eat all green vegetables, moong, chana, dal, rice etc and to apply ghee over chappati and don't apply oil over chappati and to drink milk mixed with turmeric powder twice a day and if possible eat eggs on alternate days and if possible in breakfast eat atleast one bajra ka rotla and eat seasonal fruit.
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Can Playing Video Games Cause Neurological Problems?

M. D. Psychiatry, Diploma in Psychological Medicine-DPM, MBBS
Psychiatrist,
Can Playing Video Games Cause Neurological Problems?

Your mother has often yelled at you for playing video games for long hours, but obviously you haven’t paid heed to it. Such is the obsession with video games that they don’t let you rest unless you have championed all the levels in the virtual interface. Here is the source of all problems. Studies have revealed that video games have a direct relation to neuropsychiatric problems. As a result, many health experts across the world consider video game as a kind of health abuse.

People who play action-oriented video games are at higher risks. The more you indulge in these kinds of games, the more they are going to affect the hippocampus section of your brain. It is that part of the brain which is considered to be the centre of your nervous system, memory and emotion. Reduced hippocampus volume may make person vulnerable to multiple neuropsychiatric complications. Let us see some of the signs, which may indicate the onset of certain complications arising from an over indulgence in these games.

1. You spend hours on the computer or related gaming devices and devote lesser hours for your family and friends

2. You get agitated when someone stops you midway through the game

3. You become socially isolated and show signs of occasional mood swings

4. You are unable to keep a track of time once you start playing

5. You repeatedly neglect your studies, resulting in a dip in performance at school

Why does this happen?

All of the above signs indicate that sooner or later you might develop neurological problems. When you spend an excessive number of hours on playing and navigating through the games, the ‘hippocampus’ portion of your brain shows signs of decreased gray matter. As a result, the volume of the hippocampus shrinks, causing severe nerve related disorders such as schizophrenia, Alzheimer’s disease, dementia, depression, and overall general stress.

One of the biggest reasons behind this is a lack of self-control. Most of the video games will encourage you to steal cars, run away after a theft and kill your enemies. Moreover, if you succeed, you are rewarded. This naturally unleashes a blatant urge for the gratification of all these awkward desires in your real life too. Hence, once you are encountered with the reality, you tend to show violent behavior. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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