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Dr. Sudhir Pai

Neurosurgeon, Bangalore

500 at clinic
Dr. Sudhir Pai Neurosurgeon, Bangalore
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sudhir Pai
Dr. Sudhir Pai is an experienced Neurosurgeon in Vasanth Nagar, Bangalore. You can visit him at Vikram Hospital in Vasanth Nagar, Bangalore. Book an appointment online with Dr. Sudhir Pai on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 39 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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Vikram Hospital

#71/1, Millers Road, Vasanth Nagar. Landmark: Opp. To St Annes College & Beside Navnit MotorsBangalore Get Directions
500 at clinic
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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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Hi, I am having migraine problem, pain in one side of my head near eye. What should I do?

MBBS, cc USG
General Physician, Gurgaon
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines kindly consult Physician for further management
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Hello, I am 19 years male, I am suffering from epilepsy, and facing sever headaches and black outs. Doctor has told me not to drive and play video games. Advice me something instant as I am very fond of play station and gaming boxes.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Lybrate-user you should understand that what your ailment is. As you are suffering from epilepsy so your doctor has rightly advised you not to drive because if in case you get a fit while driving then you can harm yourself. Regarding video games you should try to avert from that too as any flashing light can precipitate an attack. Try to keep yourself occupied with books or anything which does not put you at risk.
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Hand Surgery SR Ship, MS - Orthopaedics, Thesis Work, M.B;B.S
Orthopedist, Jaipur
Post Injury or fracture nerve palsy needs to be treated in time.
The usual period before which surgery should be undertaken so that good final outcome can be expected is around 3 months.
so in such cases do not wait too much.

I am 20yrs old and I am facing problem of numbness in my foot. Can you tell me the reason and exercises.

M.S. -ORTHO, Fellowship In hip and Knee Replacement Surgery
Orthopedist, Surat
I am 20yrs old and I am facing problem of numbness in my foot. Can you tell me the reason and exercises.
Numbness in foot is big issue for your age. Please consult doc for your diagnosis. Don't ignore it.
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I have migraine problem from childhood and cronical headache starts due to sun rays, tension etc one times after 10 days but from few days I have continuously headache in my head and also I have not take completely sleep.

MBBS
Physiotherapist, Dhanbad
I have migraine problem from childhood and cronical headache starts due to sun rays, tension etc one times after 10 d...
Dear, you take homeopathy remedy some week like two, psorium 200, 2time 4drope, also advise sleep in night shutdown light, be car take care all the bast.
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What medicine I should take for migraine instead of these. Naxdom 250 Profigran-10 Newcita 10 (Escitalopram) Because due to these my hands and legs are shivering. Feeling weakness.

BHMS
Homeopath, Gurgaon
Pls take homoeo medicine - R16, Mellilo 30, N mur 30. This is the best medicine for migraine. If feel any probleme then contact with me. Thanks.
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I m 30 years old and my wife has migraine problem. Do we have any permanent solution to remove it from root or any cure in winters to avoid it because it mostly bother in winters. Thanks.

MBBS, cc USG
General Physician, Gurgaon
This problem of migraine headache can be solved by meditation i can give you address of Rajyoga meditation center near your house (this is free of cost)
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I am prone to migraine headache. When I get it my sight becomes blur, numbness in hands and severe pain of head and eye on one side. Whats immediate remedy and long term remedy to get out of it.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. You have migraine with aura in which neurological poblems like blurring of vision or numbness of legs/hands occur but all symptoms are reversible. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. 7. Acupuncture treatment has shown some benefits in migraine. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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Hi whenever my friend eat breakfast in the morning he gets headache? From last three years he has a migraine problem doctor prescribed him headset medicine but these days he is daily suffering from headache and have to take medicine. What can be the problem? How this can be cured? He is 25 years old weight is 69 kg.

DNB Neurology JHRC, MD Med, MBBS
Neurologist, Mumbai
Hi whenever my friend eat breakfast in the morning he gets headache? From last three years he has a migraine problem ...
He will need Preventive medicines for migraine. Plenty of oral fluids, meals at right time, adequate sleep, avoid late nights. Dark glasses with uv protection when going out in bright sunlight. Exercise 45 min a day. May see local neurologist again.
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I am 16 years old. I am suffering from severe migraine. I have taken medicine which works for short periods. I would like you to suggest some best medicine.

DHMS (Hons.)
Homeopath, Patna
Dear lybrate user, migraine is the chronic headache caused by irregular life style, stress, anxiety, junk food, chronic disease, mediitional agrravation/ abuse. Take, your diet, easily digestible on time. Go for meditation to carry oxygen to calm down you nerve to ease your migraine. Take, plenty of water to eliminate toxins. Avoid, dust, smoke, alcohol, junk food, smoking, caffeine, watching tv & sitting on computer in d late night. Ensure sound sleep for at least 6/7 hrs. Do not carry your office, home. Take homoeo medicine. @ spigelia 200-6 pills, thrice a day. @ china 200-6 pills, thrice a day. Take care, stay relaxed.
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My husband father having Parkinson's disease. Now I am pregnant ,it affect my baby? If possible to baby born with any neurological problems?

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
My husband father having Parkinson's disease. Now I am pregnant ,it affect my baby? If possible to baby born with any...
Dear lybrate-user, Parkinson disease is usually a age related illness. It usually occur after 60 years of age. So do not worry your baby will born healthy. Please avoid medicine not prescribed by doctor. Please avoid alcohol, cigarettes during pregnancy. All d best!
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I have great fear to take a cup or glass of hot things like tea. Whenever I try to do this, my hand as well as whole body tremble. Before some month I was taking a plastic cup of tea. That time my hand trembled and hot tea fell on my hand. And there was some burn on my hand. From that day I feel very much fear to take a cup or glass of hot tea.

DNB(Neurosurgery)
Neurosurgeon, Chennai
I have great fear to take a cup or glass of hot things like tea. Whenever I try to do this, my hand as well as whole ...
I would suggest cbt: cognitive behaviour therapy. It teches you to modify your thoughts in day to day situations lot of literature is available online, pick up the best one and learn! you can continue you meds as your psychiatrist's advise.
2 people found this helpful
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I am 25 years. Old. I have migraine problem last 5 years. I have not talking any treatment please tell me which medicine I use in migraine problem.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol and we can start after examination tablet propranolol and also take tablet folvite 5mg once a day for six months and tablet vitamin d3 60000iu once a week for six months.
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I m 25 some time I don' t feel my legs or arms its like they are not part of my body this things happening from last 5-6 years initially it was for short term like 5-6 sec but now it' s for like 10-12 sec or unless I given pressure on that.

MPTh/MPT
Physiotherapist,
Kindly visit fitness centres and do workouts for your entire body it might be due to lack of vitamin c in your body. Take fruit juices daily.
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How can I get rid off from migraine. I have been facing this problem for long years.

DM - Neurology
Neurologist, Nagpur
Although migraine is a genetic disease and patient experiences symptoms for many years, it can be very well controlled with medications and some non pharmacological methods.

I've Photosensitive Epilepsy. I've been treating with gabapentin 300mg bd for 2 years It doesn't work well Please tell me what should I do.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
-Medical treatment in form of sodium valproate is available to reduce the sensitivity in PSE, -avoid situations in which u might be exposed to stimuli that trigger seizures and/or take steps to diminish ur sensitivity (as by covering one eye) if unavoidably exposed. These actions together can reduce the risk of seizures to almost zero for many PSE patients.
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