Dr. Sharan Srinivasan

First of all reduce your wait. You might be having over weight. A polysomnography is necessary. Cpap might help you.

You must think, that your fine and concentrating on good ideas. Destroy anything is easy but not creating it. So you must wait for your recovery. Take healthy food and positive thoughts is a first tips to be followed. And we must do some new habits like spending time in gardening or reading books or jacking or exercise etc.

(1) Kali Phos 6X/25 gm, 4 tablets four times daily (2) Five Phos 6x/25 gm, 4 tablets four times daily

Hi Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi. Your thigh pain and a feeling of numbness should not be related to your diabetes. Do not hesitate to contact me if you need any further assistance. Thanks & Regards Dr Akshay Kumar Saxena

Hello, Migraine, is triggered by gastric disorder, stress, insomnia.●Only natural recourse can rescue Migraine.● Tk plenty of water to hydren your body and to restore metabolic action. ●Go for meditation to reduce your stress and to nourish body and brain to ease the problem, putting your nerve calm. ●Your diet be non-irritant, easily digestible on small intervals to  avoid gastric disorder being one of the exciting causes ● Ensure, sound sleep for 6/7 hours in the night. ● homoeopathy may stand with you as a reliable friend in need. Tk @. Natrum mur 200-6 polls, morning dly. @.Spigelia 200-6 pills, evng dly. Your feedback matters for further followup, please. Tk Care.

Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.

Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Migraine which is occuring daily can be very debilitating for the patient. I suggest she should be put on a long term management plan which would address acute episodes of pain as well as prevent the attacks from happening. For this she may need some medications and physical therapy in form of yoga and other relaxation techniques. I suggest you consult a physician who would investigate her baseline parameters and begin a management plan for her.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually with your description, it seems that she is suffering from spinal canal stenosis. My advice will be based on certain information if you can provide that: - please get a x ray ls spine (ap & lateral- flexion and extension views) so that we can look for degeneration in her spine - we will also need mri ls spine to look for degenerative discs and stenosis in canal also please mention whether she is suffering from any other medical issue for which she is taking or has previously taken long term medical treatment? do not hesitate to contact me if you need any further assistance.

Do not take the advise of doctors lightly as they are very crucial. Lifting weights can cause serious cord compressions and permanant nerve damage. Kindly avoid heavy work as far as possible. Take care.

1. Usually no identifiable cause is present in case of locked fingers. 2. Possibly cause identified, is shortening of tendons/ muscles due to reduced activity. 3. Stretching of involved muscle group, daily twice and especially before going to sleep will be helpful. 4. Also to improve muscle activity calcium and potassium supplements, with good hydration (at least 6-8 liters of water per day) will be helpful. Food rich in potassium like banana, avocada, nuts, etc. Will be helpful. If finger locking, becomes painful and frequent, release surgery might be necessary. It appears to be possible early stages and stretching will be helpful.

Hi, give her homoeopathic medicines: 1/ five phos 6x--4 tabs with lkuke warm water, thrice a dy 2/ rauwalfia q crategus ox q, mixed both together, 10 drops, thrice with little water. 3/ coffia cruda 200--5 drops at bed time. Report after a month take care.

Kindly show me a photograph & 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.

Is Sleep Linked to Hypertension?

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

Average sleep times have declined

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

What happens when you sleep?

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

The Autonomic Nervous System and “Fight or Flight” Response

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

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

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

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

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

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

Sleep and Thyroid Hormone

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

Sleep, Obesity, and Hypertension

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

Caffeine and Hypertension

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

Obstructive Sleep Apnea

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

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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This is a case of tinnitus. I think you need further investigation to look for cause for tinnitus. This problem may be due to ear problem, hypertension or because of neurological disorder.

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

Yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me

take homeopathy medicine Mig Aid 1 tab 3 times a day 15 min after meal without water for 6 months and avoid taking curd and rice at night and also take belladonna in 30 potency three times a day 15 min after meal without and maintain a gap of 20 sec bw these two medicine and do alom vilom yoga regularly early morning u can get these medicines homeopathy pharmacy near by you

Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and for now For pain take tablet paracetamol 650 mg