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Dr. Rai Vishwanath

Neurologist, Bangalore

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Dr. Rai Vishwanath Neurologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rai Vishwanath
Dr. Rai Vishwanath is a trusted Neurologist in RMV, Bangalore. You can visit him at Dr. Rai Vishwanath in RMV, Bangalore. Book an appointment online with Dr. Rai Vishwanath on Lybrate.com.

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127, 1st Block, 2nd Stage, RMV Bangalore Get Directions
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I have severe headachne for last 5 days.MRI of Brain & Venogram is done.It says enlarged pituitary gland of 13mm is seen in cranio caudal

MBBS
General Physician, Delhi
Welcome Enlargement of the pituitary gland is a frequent cause of incidentaloma and of referrals to endocrinologists for hormonal evaluation and therapeutic advice. In neuroradiological series, 25-50% of healthy women who are 18-35 yr old have a convex superior pituitary contour, but pituitary height exceeds 9 mm in less than 0.5% of cases. This study was performed to provide thorough clinical and hormonal data and long-term endocrinological and imaging follow-up data on subjects with incidentally discovered pituitary hypertrophy (height > 9 mm). Seven eugonadal nulliparous women, 15-27 yr old, referred between 1989 and 1998 with incidentally diagnosed pituitary gland enlargement (height > 9 mm) and a suspected pituitary tumor, were studied. At presentation and at yearly intervals, PRL plasma levels and corticotropic, somatotropic, and thyrotropic pituitary function were measured; and pituitary dimensions and signal on magnetic resonance imaging (MRI), before and after iv gadolinium-diethylene-triamine-pentaacetic acid injection, were assessed. PRL plasma levels were normal; and corticotropic, somatotropic, and thyrotropic pituitary function was considered normal in all cases. In all the women, the upper boundary of the pituitary was convex, on MRI, and touched the optic chiasm in four cases. The width and anteroposterior diameter of the gland were normal. The pituitary itself seemed normal, with a homogeneous signal, on plain and dynamic studies with iv contrast injection. Despite normal initial hormone values, two women underwent surgery, by the transsphenoidal approach, in another center. During surgery, the pituitary seemed normal in both cases, with no evidence of tumoral or inflammatory processes. Biopsy specimens showed the morphologic characteristics of a normal, nonhyperplastic pituitary gland. All seven women were seen at yearly intervals for 2-8 yr (median, 4 yr). Clinical and hormonal status remained stable, as did the structure and size of pituitary, on serial MRI. No tumor formation occurred, supporting the diagnosis of physiologic hypertrophy of the pituitary gland. In conclusion, these observations suggest that careful examination of MRI results may help to distinguish physiologic pituitary hypertrophy from pituitary tumors and infiltrating lesions. The former diagnosis is confirmed by normal baseline pituitary function in extensive hormonal tests. Correct identification of such patients is important to avoid unnecessary pituitary surgery and costly MRI surveillance. If you find any problem ask again. Thanks.

Sir few days ago I went to a doctor, I am suffering from insomnia and I was prescribed to take rivotril 0.5 mg but I think that he prescribed wrong. So sir please let me know shall this medicine help me to get proper sleep. please help.

MBBS
General Physician, Mumbai
Sir few days ago I went to a doctor, I am suffering from insomnia and I was prescribed to take rivotril 0.5 mg but I ...
Tip- I will suggest you to take a shower with warm water or just wash your face, forearms,legs with soap and water at bedtime for a peaceful sleep.
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Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep. Never have a deep sleep almost from last 6 month .now am so weak. I really don't know what to do. Please help.

BPTh/BPT, DMS
Homeopath, Kolkata
Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep....
Most probably you are suffering from Cervical Spondylolisis, So, U confirm the diagnosis by X- Ray and go to the physiotherapist.
1 person found this helpful
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Regular Exercise Is The Key To Fight Dementia, Shows Study!

MBBS
General Physician, Fatehabad
Regular Exercise Is The Key To Fight Dementia, Shows Study!

According to a recent study conducted, researchers found that a healthy lifestyle can help fight dementia. As physical activity will help in stimulating the blood circulation in areas that are at risk. 

Alice Hollamby, study’s lead author stated, "We understand that living with dementia poses many challenges to individuals and their families and the idea of improving their physical fitness may seem like an unachievable target."

And, Dr. Eddy J Davelaar, study co-author, mentioned, "We all know we should embrace a healthy lifestyle to strengthen our physical and mental wellbeing. However, this is not to say that when one develops dementia, all hope is lost."

Also, as per previously conducted studies, it was found that physical fitness may help prevent dementia, the current study further showed that it can ward off further memory loss in patients suffering from it.
 

4 people found this helpful

My finger tips are becoming numb and skin is peeling off. I am 74 years old and diabetic. Had bypass surgery 6 years ago. I take plant-based diet cooked without oil. Stopped taking dairy products.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
My finger tips are becoming numb and skin is peeling off. I am 74 years old and diabetic. Had bypass surgery 6 years ...
Please don't stop the oil as it is an essential part of the diet. You can take either of the following. Coconut oil, peanut oil, sesame oil or mustard oil. You can also take pure ghee. Are you diabetic? If so, then check your blood sugar levels. You can take Cap. Becosules-Z once or twice daily till the numbness disappears. Apply a moisturiser over the hands & fingers daily.
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I'm patient of epilepsy, ye sleep me hota h.I always taken ox maxetol medicine. Can I live in life just like others.

MBBS, MD - Psychiatry
Psychiatrist, Raigarh
If you're seizure attacks are on control then you can live like a normal person with some precautions.
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My sister is 42 years old and she has migraine problem, very high pain on head. Also getting medicine which is given a doctor but not effect. Pls tell some other medicine. Thanks abid.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular for medicine contact on private chat along with details of medicine taking at present.
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My arms and thighs got numb more often when I was asleep. Once I have checked my blood pressure as well but it was all normal. I am confuse now. Because this happens now more frequently.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of ls spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od x10 do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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My mother aged 79 years was having trembling hand since 25 years and doctors concluded as non parkinson. Recently apart from trembling hands her jaw also started trembling .Doctors diagnosed as parkinson and they prescribed 1.Syndopa 110 half tablet thrice a day. 2. pacitane 2 mg twice a day 3.lonazep 0.2 mg bed time and 4.Betacap bed time. There was a good improvement in her trembling, but she started talking to herself and behaviour changes. This change occurred only after taking these medicines. Request advice

MBBS, MD - Psychiatry, DNB (Psychiatry), MRCPsych, MNAMS (Psychiatry)
Psychiatrist, Thrissur
My mother aged 79 years was having trembling hand since 25 years and doctors concluded as non parkinson. Recently apa...
Hi, This is a very common situation in people suffering from Parkinsonism and you might be correct in assuming the symptoms of talking to herself are due to the medicines. Syndopa actually increases the dopamine levels in your brain which could lead to increase in symptoms like delusions and hallucinations. However if we try to treat the talking to self, this might further decrease dopamine levels and in turn increase trembling and parkinsonian features. So a delicate balance needs to be maintained between the two. This would be best done by a neurologist and psychiatrist working in combination with each other but please do not stop any medication without doctor's advice.
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1) suffering from parkinson for more than 28 years. 2) age 57, male, weight around 35-40kg recent diagnosis 1) 2 months back pet scan was done diagnosis-ed as psp medications 1) syndopa plus tab 2 times, pacitine, neurobian, amantrel night 2) recent prescriptions of syndopa plus 3 times a day aggravated 3) increasing of pacitine 2 times, straining my eyes observations 1) morning I am feeling stable till I take syndopa plus. Syndopa is causing sudden walking imbalance and walking on toes. Syndopa is slightly improving grip but not able to walk 2) amantrel started taking morning, night and stopped syndopa causing acute weakness after 2 days becoming extremely weak 3) by taking amantrel night and morning and taking syndopa plus tab in the morning and 1tab syndopa in the evening improved slightly 4) syndopa full tab is having effect for 3-4 hours, tab is having effect 2-3 hours 5) after syndopa effect I am becoming stable again am able todo little work 6) frequent urination in night (male incontinence due to parkinson?) what options? questions 1) any alternative prescription for syndopa so that I can improve my walking condition 2) frequent urinals any way to control. 3) after syndopa drug intake, problem to perform any work 4) amantrel is having stabilizing effect, syndopa causing walking imbalance so how I can I improve my condition?

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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