Dr. Yesheswini Kamaraju

Stroke (paralysis) can cause decrease in cognitive processing and result in post stroke dementia which is characterised by memory loss, difficulty in day to day activity and at times behavioural issues. There are some medications which can help to slow down the cognitive deterioration. Please consult a neurologist or a psychiatrist for her memory issues.

It is sad to hear about your brother in law. Your height and weight indicate that you are fit and fine. You should not worry about disease and untimely death. Get your complete body tests/check done every three years from now on. You can only control what is in your hands. 1. Good natural simple nutrition 2. Daily exercise activities to stay fit. 3. Proper relaxation and sleep 4. Being stress free 5. Being happy and spreading happiness. If you can do all this then live a happy life. No one knows how many days we have been granted on this earth. We can only live in this moment. Breathe well and live well.

Smoking or consuming smokeless tobacco is very harmful for your teeth. It can lead to various oral diseases like oral cancer, gingivitis, periodontitis and tooth decay. 

Hi, Feeling down or blue is a natural part of life. People let us down, things go wrong, we lose people we love or the dreams we've valued. When feeling down stretches over weeks or months, is occurring frequently and interfering with your ability to interact with people and enjoy your life, it is likely that you're experiencing some form of depression. Provided that you're able to access information and have a good doctor and support network around you, even severe depression is a highly treatable condition. Along with medication psychotherapy from psychologist is a important adjunct. Firstly, you will have to make few lifestyle changes: Sleep well. Sleep is essential to a healthy, balanced body. Lack of sleep can aggravate negative thinking and easily becomes a vicious cycle whereby your negative thoughts keep you awake and disable your ability to get enough sleep. Waking unrefreshed and feeling tired is a common complaint during depression, and even too much sleep can leave depressed persons feeling tired. Breaking this cycle requires enforcing a strict sleep routine of the same bedtime and waking time every day, avoiding caffeine and alcohol, not exercising three hours prior to bed, removing anything distracting from your bedroom, and keeping your room at a suitable temperature. Exercise releases a natural anti-depressant chemical in your brain and gets you into doing something active. Start small with a simple walk to the local store or around the block, or to your garden gate might be the way to begin. Gradually work up to a routine that fits with your needs and enjoyment. Look for friends or group exercise sessions since having a partner will keep you more motivated. You can also look for activities that will allow you to release some of the pent-up emotions that may be built up, such as kickboxing. Playing sports is a great way to get regular exercise, stay occupied, focus on self-improvement and meet new people. Some studies have found that people who participate in sports have somewhat fewer symptoms of depression. Choose a sport that is exhausting to quiet the chatter in your mind and leave you feeling wrung out—just don't overdo it. Join a team or class in your area and commit to showing up to as many of these meetings as possible, even if you may not feel like going some days. Eat healthy. Reduce your intake of sugar, high fructose corn syrup, fast foods, and processed foods. Eat more fruits, vegetables and whole foods. Drink plenty of water and do some research on foods that are said to improve your state of mind and well-being. Improving your diet can be a positive project to keep you constructively occupied and focused when you're working through your depression. Plus, many healthy foods are effective at improving mood Talk with friends, family and colleagues who make you feel good and who are good to be around. Spend time with people who see the world in a positive way and ask them to share their visions, ideas, and approaches to life with you. Most positive people will be more than happy to reveal the things that help them keep upbeat and happy about their lives. Learn from them. Remember that misery loves company. It can be incredibly hard to keep away from negative people as down and out as you're feeling, but do your best to avoid them. You won't be doing either of you a favor by confirming each other's fears that the rest of the world is terrible. Keep occupied. Being busy is a way to prevent negative thoughts from going around your head repeatedly. For depressed persons, the first step is often the hardest, so making yourself do things can be a huge difference in your day and getting you started Start a journal of your journey through your depression. Document your feelings somewhere personal and completely private. This will be the place where you let out your darkest thoughts — no holds barred — because you don't need to worry that anyone will judge you for them. A diary can become your collaborator in the struggle against your depression because it eventually provides you with great evidence of what improves your mood as well as what brings it down. Try to write in it daily if possible. Change your thinking. As part of progressing, recognizing and defeating negative thinking patterns is a very important aspect to concentrate on. Cognitive behavioral therapy, psychotherapy, or other forms of psychological therapy are helpful when you're unlearning negative thinking and establishing patterns of thinking that support your self-esteem and increase your self confidence. While it is best to read up in this area and speak with someone qualified to help guide you through the ways to change your thinking, there are some important things to keep in mind. Acknowledge the feeling will pass. This can be a very difficult step, but it's vital because it helps you to start banishing thoughts of hopelessness. List all of your good points. When you're depressed, it's easy to understate the positive things about yourself. Turn this around by listing everything that is good about you. Include achievements from the past and hopes for the future, however few or random they may seem. If you can't write this list, have a trusted friend or family member start one for you. This is a list to keep building upon as you work through your depression. Self-acceptance is a vital part of recovering from depression because you acknowledge that there are good things about yourself, but also that you have challenges to overcome. This will help you stop judging yourself more harshly than anyone else. Make decisions, however small, and act on them. Again, while this is very difficult to do during depression, it is a vital element in facing the sense of helplessness that tends to overwhelm depressed persons. Small decisions like getting out of bed, calling friends, or cleaning up the kitchen all add up. Once you act on them, they become achievements. Learn how to replace faulty or negative thinking by focusing on it. Ask questions such as: Am I assuming the worst? Am I condemning myself because something bad has happened? Am I focused on my weaknesses rather than my strengths? It is helpful to arrange the negative thought in one column and a rationalization in another column, so that you can confront and undo the negative thinking. In one column you may write the thought" I'm a failure, and in the other you challenge that thought with" I made a mistake. I've made mistakes in the past and things have turned out okay. I've also had many triumphs. Learn assertiveness techniques once you've challenged the harder aspects of your negative thinking processes. Assertive techniques will allow you to find a pathway to standing up for yourself without giving in to feelings of anger, fear, or powerlessness. Knowing how to assert yourself is an important part of not falling back into depressive patterns in the future. Remember, Always keep yourself busy, or doing something positive. Sitting alone, or thinking about all the bad events in your life without expressing them to someone is going to make your depression worsen. Also pratice yoga or meditation. All the best.

No. Why call police? The girl does not seem to be a sensible one. You and your friend have been blessed by god that she married elsewhere! just try to think, had she got married to your friend and then had cheated him by going to her previous lover/friend, what life would have been like! strongly suggest, ask your friend not to bother about her any longer and rather concentrate to better his own life in terms of career, family, etc. Let him close all eyes and ears for her and focus on his life. When she sees, no response from his side will go back. You may not be required to do anything else best of luck. Happy diwali.

Dear Lybrate-user, It is good to hear that you want to stop alcohol, alcohol can damage Liver, Liver is one of the main Organ in our body it produces enzymes from food which we eat, do not stop at once try to reduce quantity first and then Frequency (if you are drinking daily make it weekly twice for 1 or 2 months then stop slowly). If you need any support have counseling help by in-person or audio/video.

Dear Lybrate user. I can understand. Memory and mind power depends on three aspects. Understanding, retention and recollection. Recollection is easy if your retention is proper and flawless. Retention is possible when you are able understand what you read or learn. To understand you should have concentration. Concentration comes from effective learning techniques based on creative and active learning. Physical exercise, outdoor games, entertainment, socializing coupled with systematic learning improves your memory and mind power. Vegetables, fruits and nuts are perfect for memory. Brain games like sudoku and jigsaw puzzles helps too. Avocados, Beetroots, Blueberries, Broccoli. Celery, Coconut Oil, Dark Chocolate etc are good for improving concentration and memory. I suggest online education counseling. Take care.

Dear feeling very sad that you hv lost your father. It's a post traumatic event your mom z facing. Take her to the psychologist n psychiatrist to get rid of anxiety.

Dear patient, greetings from lybrate! we usually recommend to take anti-epileptic medicines like oxytol to be taken for 3 years at a stretch after she is seizure free. This is to prevent a recurrence soon. Never stop these medicines without advice of your doctor. I hope this helps.

Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem-solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning, at least, five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position, you must squat down and rise up and do this for five minutes every day. There is some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food.

Daily exercise of at least half an hour is a must. Even if you go to a gym, ask for aerobic and/or callisthenic exercises with whatever else you are doing. A healthy body harbors a healthy mind. With regard to memory, it is very important that your brain and body is ideally rested to be able to recall whatever is required, rather comfortably. Puzzles pose problems to the brain that help it to use new pathways and neurons, which give the brain considerable exercise. It taxes the left brain to use logic to solve the myriad possibilities which other activities do not stimulate. Crosswords are excellent for vocabulary learning and use. Jigsaws and Rubik cube stimulate different permutations to finally settle on the most likely one. Picture completion and anagrams help approach problem solving from several angles. Do Sudoku, and memory co-relation activities and skills. Have a good night’s sleep, have a good breakfast of more proteins, meditate often, remain free of stress, eat a lot of fiber (whole grains, fruits and vegetables), nuts, avocado, eat dark chocolate, consume less of fat and use olive oil instead, do Yoga meditation exercises, etc. You need to check out if you are stronger visual or auditory. The visual is a better mode than the auditory. However, if you combine the two modes, you will get the best concentration. Have a special place of learning, which should be well lit, with soft painted walls, well-ventilated, with no distractions. When you get bored, study by writing. If you repeat learning at least five to seven times, you will apparently remember for a longer time. Sit comfortably but do not slouch. The reading material should be of a fairly large print. Study at small intervals of about 40 minutes and then take a break or change the subject. Short-term memory is a faculty of the left brain, and long-term memory is a feature of the right brain. When people are stressed, they tend to favor the right brain and abandon the left brain, where short-term memory resides. So, it is really very simple: deal with the stress and activate left brain functions. Here are a few suggestions to activate left brain function: shut your left nostril and breathe, move your eyes from right to left and vice versa for at least half a minute at a time, and do callisthenic exercises with some form of counting, regularly. There is a new exercise called Super Brain Yoga, which is done by holding the right earlobe with your left thumb and index finger, and the left earlobe with your right hand’s thumb and index finger. In this position you must squat down and rise up and do this for five minutes every day. There are some memory enhancing techniques and study methods that your teacher will be able to guide you with. If your home life is full of distractions and stress, it is likely to affect your memory, adversely. In that case, I suggest that the family goes for counseling too. The following foods do help too: Blueberries, walnuts, turmeric, Spinach, tomatoes, broccoli, acorn squash, green tea, oily fish, boiled egg, turkey, apples, oatmeal, leafy greens, lentils, pumpkin seeds, avocado, cinnamon, thyme, sunflower seeds, and red wine. Avoid sugar and junk food.

Yes, you would want to leave it and not just reduce it. You have made a wonderful decision and it will affect you positively in the future for sure. But it is not easy because there is a lot of conditioning associated with it and these can be spread over the whole day and night!!! When you decide, it must be done immediately and abruptly. Waiting another day will jeopardize the decision. Since you want to do it I recommend that you seek the help of a counselor and do it with support. You need to identify with why you smoke: there is an oral need, the nicotine effect, the psychological effect of covering up some other issue, for style, to impress, etc. You may discover that the reasons may be unimportant at this stage because you have become too addicted and the habit has become compulsive. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need, for a little while. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all, announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. To help process all of the above and to get support, go for counseling and persevere with it until you are completely over it.

Syndopa is the best medicine available for Parkinson's disease. However the dosing and dosage interval should be individualized based on the need. Even improper dosing and dosage interval may produce poor control. Also there are many other drugs available which could helpful if added to Syndopa judiciously. There is a surgical procedure called DBS is available which can give better result in carefully selected patients.

Let me explain what your son is going through. He has entered adolescence by nearly 4 years now. During this time there will be a spurt in the production of the male sex hormone, testosterone, which has a duration of two years. Due to this chemical alone there are three identified features that present itself over which he has no control: he will be sexually active, aggressive and rebellious, and he will have acne and pimple problems. Then if he has unresolved childhood issues, they will compound the situation and fuel his uncontrolled behavior. Please remember that he himself may not be aware of all this. He is establishing himself among his peers, and he will try to be fashionable in every way possible. What is outrageous to you is very much in, with youngsters today. I am not asking you to become like them but you must understand that this is a different generation and era. He will be seeking a lot of attention from his friends and some of them think that they have to be horrendously different for social acceptance. They will smoke, drink, do drugs, have relationships with girls just to impress their peers. Now what to do? You parents need to become his best friend i.E. You must always ally with him and find the path of least resistance, without displaying any weakness. Communication must always be open and favorable. The moment he hides things and does not communicate with you or you withdraw it, there is serious danger. Avoid all types of confrontations and discus your concerns with him, openly. Indulge in him and make home a beautiful place for him to want to be in. Now remember he needs money for all his adventures, which is a commodity he does not have and is not earning it either. That is your bargaining chip or weapon. Use it to negotiate compliance on a barter basis. Never give him anything without there being some negotiations ? barter with him; you give him something in return for some compliance from him. There has to be some ground rules in living in your house. If he cannot adhere to them, let him choose to live elsewhere, on his own earnings. Let it appear like it is his choice. You have to be strong and firm in some matters. Don?t make decisions for him: offer alternatives that help him make responsible choices. I recommend that you take him for career counseling and determine his aptitude for academic pursuits. Offer him the option then, that he does his course or goes to work. If you feed him with all the comforts, he will never be under pressure to do anything. In fact you may be encouraging him in his negative behaviors by facilitating them. If you can befriend his close companions, especially his peers, you can reach him through them to influence him positively but it has to be done with strict confidence. You may also have some respected elder relative whom he regards highly. Use his/her assistance to get some obedience out of him. Whatever you do, never let him feel rejected by you. There is no harm to tell him that you are afraid as to what is going to happen to him, and afraid that you cannot handle him. This is a fact and so there is no shame in being that open to him.

Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for a week and update.

Yes you are right this two are connected. From your duration of disease and symptoms it looks like you might be suffering from ch. Rhinosinusitis. If you have already used medications and not improving then we should go for ct scan of nose & pns. So please get it done.

Patients of schizophrenia can be treated well. Proper compliance and follow upwith psychiatrist must be there. Dont miss medicine. Most of the patients show significant improvement in 6 months.

You definitely need to consult a very good dietician. Also gaining almost 25 kg in 2 months is not a good goal. The proper way to gain or reduce weight is taking an approach that does it gradually. You also need to remember that when you gain weight gradually then you are not gaining only fat but also gaining muscle mass. Then yiu don't need to worry about cardiac and other health related issues. Hope this helps best wishes.