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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 42 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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I am allergic to sun. And it leads to migraine whenever I do not eat anything in the morning. And it starts with severe headache. So whats the solution?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am allergic to sun. And it leads to migraine whenever I do not eat anything in the morning. And it starts with seve...
You know the solution already. If you have migraine like headaches and you know precipitating factories then avoid them. For example as in your case. - avoid continued, unprotected sun exposure - have meals at regular intervals, do not fast - avoid foods that you are allergic to - have a restful and good sleep at night to prevent frequent relapses inspite of taking all precautions you need a course of prophylaxis for migraine.
4 people found this helpful
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My half face have paralysis. I do lot of thing for treatment. BT I ntng find. Any medicine. What I do.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Often, no treatment is needed for facial palsy. Symptoms often begin to improve right away. However, it may take weeks or even months for the muscles to get stronger. You can try physiotherapy treatment to help progress their recovery. Physiotherapy treatment for facial palsy may consist of facial massage, exercises, and electrical stimulation. Most cases go away completely within a few weeks to months. If you did not lose all of your nerve function and symptoms began to improve within 3 weeks, you're more likely to regain all or most of the strength in your facial muscles. Best wishes.
1 person found this helpful
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I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron. My haemoglobin level I just 5 inspite of good iron intake. Can you help me with this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron.
My haemoglobin level I...
U r a chronic anemic patient. I think you r also insomnia patient. You have neuro problem. You will be cure surly. Nat. Mur- 200/ 3-4 drops bdac x 5 days. And ferrum phos - 3x / 4 tabs 4 times daily with warm water for 3 months. If you want to contact with me. You can do.
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My hands starts shaking automatically. Sometimes I can not hold anything. What can I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My hands starts shaking automatically. Sometimes I can not hold anything. What can I do?
Do take tens therapy for 12 days followed by strengthening exercise from neuro physiotherapist best wishes.
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
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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I have migraine and no medicine helps me in getting relief. please suggest the best one.

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 prescription contact on private chat.
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Good day to you. For a few months i've been having numbness and weakness in my left leg and scrotum. Got my mri results back and they say. Mild scoliosis at L4 L5 region with minor disc bulge with no nerve compression. No sign of cauda equina. Small annular tear at L4 region with muscular spasm. What's causing my numbness? How do I fix the disc bulge?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Good day to you.
For a few months i've been having numbness and weakness in my left leg and scrotum. Got my mri resul...
Most likely, the cause of your symptoms are disc bulge. The best treatment at this stage is physiotherapy. Medications such as pregabalin and gabapentin are also helpful.
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I ama 40 years old male suffering with urticaria from last 8 yrs. I am taking atarax 10 mg I daily for prevention. When urticaria occurs I take cetrizine 5 mg that led to stressed out nerves and heaviness in head. I was also diagnosed with migraine 4 years back. Pls help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Periodic "virechana" (purgation or cleansing the stomach) with appropriate Pittahara medicines (Example: Avipathi Churnam) will be effective in controlling SheetaPittam (Urticaria). De-worming once in six months also may be required. Note the allergic food or other material and try to avoid them consuming or from contact.
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I am 30 years old male. I have a sickness of migraine. I used many medicine s and balm as hand balm. But I could not get relief.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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I am 31 years old female have migraine. But don't want to take alopathy treatment.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Ayurveda is very helpful in case of migraine. Shirshuladi vajra ras. Kaparda bhasm. Godanti bhasm. These are the medicines to cure it. Cow ghee 1-1 drop in both nostrils at night time before sleep.
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My right hand fingers go numb in the night.in the morning when I get up it takes about 5_7 min for the numbness to go .I am not diabetic, BP too is OK. Then why.

C.S.C, D.C.H, M.B.B.S
General Physician,
My right hand fingers go numb in the night.in the morning when I get up it takes about 5_7 min for the numbness to go...
If you are overweight and have hypothyroidism these also need to be tested and if all are normal you may be keeping head over the hand causing a slight decrease in blood flow / pressing the nerve to cause numbness.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
How to choose intervention for a autistic child.


The key to ‘good’ intervention  for any individual with autism may often be  understanding the condition, understanding the unique ways in which individuals with autism think and learn, accepting their autism as a vital, vibrant part of their being and then approaching the intervention, the teaching of skills, and / or changing of behaviours, from that paradigm of understanding and acceptance. What most people with autism need are intervention plans that spring from a rock solid understanding of autism, provide them with structure and predictability and incorporate good behavioural principles in the teaching.

 

On the basis of a functional assessment by a competent professional, intervention plans are tailored based upon the individual strengths and needs of each specific child.

 

The intervention plan may use one or a combination of some of the scientifically proven effective techniques such as:

Treatment and Education of Autistic and related Communication handicapped CHildren Method(TEACCH) emphasizes on using skills that children already possess to enable them to become independent. Organizing the physical environment, developing schedules and work systems, making expectations clear and explicit, and visual materials are effective in developing skills and allowing people with autism to be independent of direct adult prompting.

Applied Behaviour Analysis (ABA)emphasizes on one-to-one sessions in discrete trial (DTT) format to develop cognitive, social, behavioral, fine motor, play, social and self-help skills. The technique involves structured presentation of tasks from most simple to more complex, breaking them down into small sub-skills and teaching each sub-skill, intensely, one at a time. It involves repeated practices with prompting and fading of prompts to ensure success. It uses rewards or reinforcement to help shape and maintain desired behaviours and skills.

Verbal Behavior Analysis (VBA) is an addition to ABA and is also based on breaking down and teaching language in functional units unlike the teaching of language based on grammar. In addition to teaching at the table top, teaching in (and with) the natural environment (NET) is important.

Picture Exchange Communication Systems (PECS) is built on the fact that non-verbal children with autism may attempt to spontaneously use objects to communicate. People with autism tend to be visual learners, and a visual means of communication can help them to understand and use the process of communication. PECS aims to teach spontaneous social-communication skills by means of symbols or pictures and the teaching relies on behavioural principles, particularly reinforcement techniques. Behavioural strategies are employed to teach the person to use functional communicative behaviours to request desired objects. The requesting behaviour is reinforced by the receipt of the desired item.

1 person found this helpful

My breasts are numb. Can not feel dem Im breast feeding my infant Who z 3.5 months old. What may b the reason,

MS - Obstetrics and Gynaecology
Gynaecologist, Agra
My breasts are numb. Can not feel dem
Im breast feeding my infant
Who z 3.5 months old. What may b the reason,
Firstly try to reduce your weight. With your age and height maintain your wt between 46 to 50 kg. Start taking calcuum and multivitamins regularly. Your problem will be taken care of.
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Hi Brain haemorrhage happen with 70 years old mother. Already operated 20 days before. How much time more took for recovery.

MPTh/MPT
Physiotherapist,
It take some time. Because its haemorrhage in brain. Kindly consult neuro physiotherapist to gain motor function, locomotor function, balance and coordination.
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Sir from birth my hand is little shake always abnormally at each time? What exercise I can prefer for it?

MBBS
General Physician, Cuttack
It may be due to anxiety, nervousness or thyroid disorder.Avoid nervousness. Do a thyroid function test and consult doctor
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Hi sir I'm facing pain in nerve kind thing left testicle undergone ultrasound test for testicles result normal no kidney stones normal pancreas no epididymis orchitis fatty changes in liver and normal undergone diagnosis at Apollo hospital Hyderabad with Subramanyam urologist he said infection in nerve carrying semen and suggested me with GABANTIN 300 mg when I stop using medicine I'm getting pain again pls help me!

BHMS, PGDM (Emergency Medical services)
Homeopath, Pune
Hi sir I'm facing pain in nerve kind thing left testicle undergone ultrasound test for testicles result normal no kid...
Stay using scrotal support...avoid Riding bike on bumpy roads...avoid lifting heavy objects. Take Safest and effective Homeopathy. consult privately for any query ,advice or treatment.take care
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