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Dr. Bala Subramanyam

Neurologist, Chennai

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Dr. Bala Subramanyam Neurologist, Chennai
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Personal Statement

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. Bala Subramanyam
Dr. Bala Subramanyam is a popular Neurologist in Villivakkam, Chennai. He is currently practising at Mohan Nursing Home in Villivakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Bala Subramanyam on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 30 years of experience on Lybrate.com. You can find Neurologists online in Chennai 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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No-165, MTH Road, Villivakkam, ChennaiChennai Get Directions
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No 165, Mth Road, Villivakkam,Landmark: Near Kalpana Hotel.Chennai Get Directions
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I am 18 years old and I am an insomniac, sometimes I feel very tired but there isn't any sleep, should I try sleeping pills?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 18 years old and I am an insomniac, sometimes I feel very tired but there isn't any sleep, should I try sleeping...
Hi 1-1 drop of cow ghee in both nostrils at night time before sleep. Take sarpgandha vati 1-1 tab twice a day. Take pranacharya no tens capsule 1-1 twice a day. Avoid spicy food. Junk food. Fermented food. Tea. Coffee. Do pranayama early in the morning.
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How can I get relief from migrane?

MD - Internal Medicine
General Physician,
Hi for pain relief from migraine you need to take combiflam at the onset of headache. But if headache is very frequent you need to take tab sibelium 10mg every night for 3 months. Also have sound sleep, eat at correct timings and avoid stress.
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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.
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I'm suffering from insomnia and I don't know what to do to set me free from it, what should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
in ayurveda there is mention panchakarma treatment ..... panchakarma means five procedure for detoxification of body in this five procedure for sleep you should do SHIRODHARA treatment .....you will get good result so consult good ayurvedic doctors sleep has some type i tell you 2 type 1.beta sleep = in which we are in dream if you take this kind of sleep it will not good even you take 8 hr 2.delta sleep=in which we sleep very deeply if you take this kind of sleep then 4 hr is also sufficient 3.if genarly you ask me we should 3 hr or 6 hrs or 9 hrs because our sleep cycle is complete in every 3 hrs so you should tkae sleep ik this then only you feel energetic ...
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My father is 76 years old. Has a history of seizure, hypertension. He is suffering from low sodium and potassium since 8 Aug 15. And since then he's been in and out of hospital. We are consulting a neurologist from a reputed hospital but his condition isnt any better in all these days. Pls suggest who should we meet for further advice. Thanks.

MBBS,J.R. Neurology
General Physician,
Dyselectrolytemia is the cause of his seizures. Serum sodium and potassium have very small normal ranges and its crucial to maintain both. It does take time for it to normalize at his age so you should have patience. Proper fluid intake and diet is a must. He should be screened for any endocrinological etiology. Neurology consultation is mandatory. Take care.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Managing wounds at home

A wound is a disruption of the normal structure and function of the skin.
Antibiotic therapy is not indicated in all wounds and is reserved only for infected wounds.
It is important to keep blood sugar under control while managing a wound.
All wounds, which are contaminated or have foreign bodies, need debridement.
Irrigation of the wound reduces bacterial load and also removes loose material.
Wound irrigation can be done with warm saline.
Principles of wound management are: scrub, clean and dress.
Scrubbing means that dressing should be done with clean hands, which requires proper scrubbing of the hands.
Would cleaning means that the wound should first be cleaned.
After cleaning, the wound requires a proper dressing.
Some wounds may require suturing, especially if the wound is of less than six hours duration.
In an accident if a finger is cut or a tooth is removed, one should preserve the finger or the tooth and take it to the nearest hospital along with the patient for reimplantation.
The best way to carry the amputated finger or uprooted tooth is to put them in a plastic bag and put that bag in a box containing ice.
Skin burns should be treated firstly by putting the area under the running water till the burning disappears.
In a patient with burns, the blister that forms should not be punctured.
Presence of pain is also a good sign and indicates that the burns are superficial.
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What is the medicine for very early stage of Parkinson's disease.

MD - Psychiatry, MBBS
Psychiatrist,
i dopa, carbidopa and trihexyphenidyl are few medicines that can be used in initial stage. But you should not self medicate and consult a neurologist. He may advise you the correct dose schedule after assessing severity of your symptoms. I wish you all the best.
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I have an problem of epilepsy. I used to take medicines of valproic acid by last 10 years. In between whenever I leave this, I got fits. Now I daily take this medicine of 300 mg at night. I need to know, how can I get away from this, and will it impact on my next Gene?

MD - Psychiatry
Psychiatrist, Chennai
Antiepileptics should not be stopped without neurologist advise. Epilepsy is excessive electrical activity in the brain and valproic acid controls it. If you get seizures when you stop it, definitely it is very much required. Do not keep worrying about this, many famous people including Jonty Rhodes in cricket had epilepsy, just take the tablet and carry on with your other aspects of life. All the best.
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Right face partial numb since 2nd day of april'2015. Consult with neuromedicine. Mri done as per their advice. Mri report given imaging protocol: multiplanar images of brain were obtained on t1, t2 weighted & flair sequences. Bilateral periatrial regions show ill-defined white matter hyperintensities on t2 w amd flair images. The cortical sulci and perivascular spaces are prominent. The supratentorial ventricular systems are unremarkable with a midline septum. Impression: Mr. Scan of brain shows features suggestive of bilateral periatrial white matter signal abnormalities-? due to ischemic white matter changes. Please advice me how to cure and get relief from facial numbness and have some causes of anxiety like brain tumour, cancer, blood clod in any nurve in brain, brain stoke. Please let me inform how to cured through messaging/yoga at your earliest. Waiting for your fabourable reply and also advice me shuld I spent enough time in computer as per earlier period. I am a accounting and taxation personnel so on/ooff line job is must. Can I spent time before computer as I am in practice all through the day. Thanking you,

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You are advised to get in touch of a neurophysician as he can clinically evaluate you and advise you for further management. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena consultant orthopaedics fortis hospital, new delhi.
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I am suffering from insomnia since last more than eight years and all the tests are normal for heart and blood.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering from insomnia since last more than eight years and all the tests are normal for heart and blood.
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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Dear sir. Muzhe march 2015 mei half body phralisis (left side) ho gya tha. Mere heart mai pain rehta hai aur half body mai pain aur khichaav bhi. Please muzhe medicine bats digiaee.

MBBS
General Physician, Mumbai
Dear sir. Muzhe march 2015 mei half body phralisis (left side) ho gya tha. Mere heart mai pain rehta hai aur half bod...
Apart from taking symptomatic and ongoing treatment 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 am 52 yrs old suffering Neurofibroma NF-2 through out my peripherial nerves, Sir my question is how can I get free from such type of genetic disorder. Doctor says it is impossible to cure. please excuse me and help me if you CAN. Regards.

MBBS, DNB, Fellowship in Neurosurgery
Neurosurgeon, Kolkata
Dear friend, it is not curable, but if the tumor is large, it requires operation. You can see a geneticist to consult how to avoid the same problem in your children/grand children.
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Insomnia And it's Causes

Ph. D - Alternative Medicine, PG Diploma in Psycological Counseling
Psychologist, Mumbai
Insomnia And it's Causes

Insomnia is the condition of acute sleeplessness, and it takes a heavy toll on your mood, your energy levels, and your ability to concentrate and work during the day. Some of the most common symptoms of the condition are:

  • You find it difficult to fall asleep even if you are tired
  • Once you wake up in the middle of the night, you cannot get back to sleep
  • You cannot work or concentrate on anything during the day
  • You stay mostly fatigued, or irritated throughout the day
  • You have to depend on pills or alcohol to fall asleep.
  • You wake up very early in the morning, no matter how late you sleep

What could be the causes for insomnia?

Insomnia might last just a few days if it is induced by some temporary cause, like stress at your workplace, or any other personal issue you can be facing. However, when the cause is a long rooted one, insomnia might persist for a long time. There can be a mix of many causes for that to happen:

  • Psychological stress or other emotional discomforts - Common psychological problems like anxiety, depression, chronic work stress, grief, and also bipolar disorder can be the causes for insomnia.
  • Illness or other medical problems - There can be many medical causes or other illnesses at the root of insomnia like allergies, acute asthma, hyperthyroidism, Parkinson’s disease, kidney related diseases and cancer as well.
  • Medications - There can be many drugs, which might be prescribed by your doctor, but still be responsible for insomnia. These include antidepressants, corticosteroids like thyroid hormone medicines, few blood pressure medications, certain contraceptives and stimulants for ADHD (Attention Deficit Hyperactivity Disorder).
  • Sleep Disorders - Insomnia, though in itself is a sleep disorder, can also be the symptoms for other sleep disorders like sleep apnea, restless leg syndrome, and other disorders related to jet lag or if you are working on a late night shift.

In addition to these causes, some daily lifestyle habits might act as triggers to insomnia, which include:

  • Consumption of large amounts of caffeine on a regular basis
  • Developing irregular sleep schedules
  • Taking your smartphone to bed and ending up spending a lot of time with it in the night
  • Eating late in the evening 

    If you wish to discuss about any specific problem, you can consult a psychiatrist and ask a free question.

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Sir, meri sister ko do saal se ppair m drd h, i am from haryana usko koi nerve ka koi pain h, wo bahut tklif m h.dr. Operation ki kh to rhe h pr operation sucessful hoga iske 50-50 chances bol rhe h wo chl b nhi pa rhi h.tablets leti h lekin raat ko 12 bje ke baad us tablet ka asr b khatm ho jata h.please request h aap se koi to ilaj btaye iska.

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
Sir, meri sister ko do saal se ppair m drd h, i am from haryana usko koi nerve ka koi pain h, wo bahut tklif m h.dr. ...
Operation mat karwaiye. Kuch din aaram milega. Baad me wapas taklif shuru ho jayegi. Temporary hain. Isliye. Homoeopathic ilaaj karaye. 2 mahine me thik ho jayega. Take Homoeopathic medicines. Safe and effective. No side effects. Prescribe after taking brief history of the patient. Guaranteed results in just Two months. Diet consultation and diet planning according BMI consists of protein carbs and fats in proportionate form with calculated calories to achieve your goals in healthy mannerTake Homoeopathic medicines. Safe and effective. No side effects. Prescribe after taking brief history of the patient. Guaranteed results in just Two months Consult Privately on Lybrate.
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Dear sir I am suffering from insomnia from last 2 months. When I am sleeping then seeing many horrible dreams. So I avoid to sleeping, what to do to avoid this problem please tell me sir I am tensed about it. Thanks.

BHMS
Homeopath, Solan
Dear sir I am suffering from insomnia from last 2 months. When I am sleeping then seeing many horrible dreams. So I a...
Hi, please take homeopathic medicine bella 200 6 pills twice a day, passiflora q 5 drops in few luke water and report back after with feedback, and watch any spiritual video, or read any spiritual book before going to sleep.
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I am having migraine problem how can I cure that. actually its hurt so bad so please heal this than so much.

M.D. (Ayurveda )
Ayurveda, Patiala
Take avipattikar churna powder, before meals, 1/2 spoon twice day with warm water. Regularly. Take sheerashooladi vajra rasa and praval pishti, two each, twice a day, after meals. Take pathyadi kshayam, 30 ml twice a day empty stomach, regularly. Take Sweets on regular basis. and sleep for 7 to 8 hrs at night. Relax. Continue the regime for 2 months. Good luck.
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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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Name-Uma, 44 year old. I have started medicine prescribed by MD-dr. For migraine as below from Nov15. My que. Is how long I have to take these medicine. Inderal-20-twice in a day.

C.S.C, D.C.H, M.B.B.S
General Physician,
If Inderal is not useful more specific sumatriptan is used at the beginning of headache. Inderal has to be taken as long as you have headache May be for months
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