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The Guest Hospital

Neurologist Clinic

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai Chennai
1 Doctor · ₹300
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The Guest Hospital Neurologist Clinic 372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai Chennai
1 Doctor · ₹300
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about The Guest Hospital
The Guest Hospital is known for housing experienced Neurologists. Dr. Lakshmi Narasiman, a well-reputed Neurologist, practices in Chennai. Visit this medical health centre for Neurologists recommended by 103 patients.

Timings

MON-THU
06:30 PM - 09:00 PM

Location

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai
Poonamallee High Road Chennai, Tamil Nadu
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300 at clinic
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06:30 PM - 09:00 PM
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My sister is suffering from insomnia and depression. Please suggest any medicine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
My sister is suffering from insomnia and depression. Please suggest any medicine.
As such medicine prescription is not advisable. Please suggest her to start deep breathing (pranayam) simple patterns. If she consults on Lybrate private chat, we may rope in our psychologist to talk to her and try to find out the reason. We may prescribe harmless herbal medicine later.

Hypersomnia - Causes, Symptoms and Treatment!

MBBS,DPM,MD, DNB
Psychiatrist, Akola
Hypersomnia - Causes, Symptoms and Treatment!

Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disordersThis is characterized by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

  1. There is no underlying cause that has been identified, though there is a genetic predisposition.
  2. People with history of head trauma are more affected
  3. People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
  4. People with sleep apnea often are hypersomnolence
  5. Restless legs syndrome, narcolepsy
  6. Neurodegenerative disorders like Parkinson’s and Alzheimer’s tend to sleep more.

Symptoms:

  1. Sleeping for longer hours at night time
  2. Excessively sleepy during daytime
  3. Able to doze off anytime during the day
  4. Inappropriate and involuntary sleeping pattern
  5. Having difficulty getting out of bed after waking up, even after prolonged sleep
  6. Feeling of disorientation
  7. Feeling agitated, anxious, lethargic, and irritated
  8. Impaired cognition and memory
  9. All these lead to extreme state of drowsiness
  10. Increased tendency for hallucinations
  11. Reduced appetite and even weight loss in some people
  12. There is restlessness, reduced pace of thinking and speaking
  13. Overall reduced energy levels
  14. Social interactions are affected including work life, social functions, etc.

Diagnostic criteria:

  1. If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
  2. The added feature of no tiring physical activity can also lead to suspicion
  3. In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
  4. It cannot be explained by lack of sleep on a regular basis
  5. One or more of the above conditions could be present, which can help in making the diagnosis

Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day.
 

I started having depression n insomnia right after my child's birth. I went to mang psychiatrist and neuro physicians. They prescribed me sleeping pills. But none of them worked for me. This phase continued for two years. Finally one of the psychiatrist prescribed me zaptra 12.5, it worked as a wonder for me. I started sleeping. Now I have been taking it from last 6 years. I want to know wht can be the possible side effects of this ,if I continue it for life time.(zaptra is the combination of paroxetine 12.5 + clonazepam 0.5)

MD - Psychiatry
Psychiatrist, Chennai
I started having depression n insomnia right after my child's birth. I went to mang psychiatrist and neuro physicians...
Postpartum depression is the condition you seem to have initially had. In few women it continues as persistent depression. Zaptra is a good medicine for the same, but the clonazepam part in it needs to be tapered and stopped first and then if you are emotionally well the paroxetine part can also be tried to be minimised and stopped. For this, you need to consult an astute psychiatrist. The tapering of medications can take few months. All the best.
1 person found this helpful

Migraine - Know The Symptoms And Treatment!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DM - Neurology
Neurologist, Faridabad
Migraine - Know The Symptoms And Treatment!

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.

Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

  • Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
  • Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
  • Motor: Usually related with the movement problems like the limb weakness
  • Verbal: It is related with the speech problems

Headache: In case of a migraine attack one might experience:

  • Pain on both sides or one side of the head
  • Pain is throbbing in nature
  • Vomiting and nausea
  • Sensitivity to smells, sound and light
  • Vision is blurred
  • Fainting and lightheadedness

Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.

Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

  • Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
  • Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

2 people found this helpful

I am 23 years old guy. I have questions on sleep. 1.what I face is, while I go to sleep in night or for afternoon lap, when I feel like sleepy I get jerk in body, sometimes is minor but sometimes its too heavy (i dnk proper word for it) that I loose sleep. I face it in opposite directions i.e. Left hand n right leg or vice versa. Right hand and left leg is major one. 2. I also face jerk at my hip joint, when i'm studying n I feel sleepy. 3. Sometimes I also face high heart beat, its like I am able to hear heart beats very fast, when I am still in bed. I.e when I bend down to off my alarm which I keep under my bed. Is any thing serious? What should I do? Any precautions from your side? Or any suggestions? Thank you.

CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
I am 23 years old guy. I have questions on sleep.
1.what I face is, while I go to sleep in night or for afternoon lap...
1.no alcohol 3. No smoking/ tobacco. No tea coffee, 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily no late evening walk 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine contact on private chat.
1 person found this helpful

I used to have migraine headache daily ,which medicine I could take daily? Vasograin is harmful if two tablets r taken between the gap of 5 hrs.

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 medicine can not be advised for open question for for medicine contact on private consultation.

Parkinson's disease with continuous tremors and hallucinations and non movement of legs. Is it normal for parkinson's effected person.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Parkinson's disease with continuous tremors and hallucinations and non movement of legs. Is it normal for parkinson's...
Yes it is normal. Hallucinations can be due to other reason too. You can consult me through Lybrate for homoeopathic treatment and further guidance.
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The Guest Hospital

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